Individual
KWANGME PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3138 LAURA LN, WESTLAKE, OH 44145-5524
(216) 544-1715
Mailing address
3138 LAURA LN, WESTLAKE, OH 44145-5524
(216) 544-1715
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5781
OH
Other
Enumeration date
04/24/2021
Last updated
04/24/2021
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