Individual
MS. GINA YOO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
57 LAKEVIEW DR, CHERRY HILL, NJ 08003-1132
(856) 816-6951
Mailing address
57 LAKEVIEW DR, CHERRY HILL, NJ 08003-1132
(856) 816-6951
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC007282L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019382620005
—
PA
Enumeration date
12/15/2009
Last updated
08/09/2016
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