Individual
JUNGMIN PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
901 NORTHAMPTON WAY, FULLERTON, CA 92833-1413
(917) 992-2974
Mailing address
901 NORTHAMPTON WAY, FULLERTON, CA 92833-1413
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
10850
CA
Other
Enumeration date
01/07/2015
Last updated
01/07/2015
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