Organization
CAPITOL HEALTH CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KYOUNGHWA JOY KWON PH. D., CCC-SLP (OWNER)
(901) 277-6699
Entity
Organization
Contact information
Practice address
5086 DORSEY HALL DR, ELLICOTT CITY, MD 21042-7711
(901) 277-6699
Mailing address
5086 DORSEY HALL DR, ELLICOTT CITY, MD 21042-7711
(901) 277-6699
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
08/01/2019
Last updated
04/06/2022
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