Individual
MS. CARROL YOONJUNG BAEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.T.R./L
Contact information
Practice address
25661 HURON ST, LOMA LINDA, CA 92354-3702
(909) 796-2978
Mailing address
25661 HURON ST, LOMA LINDA, CA 92354-3702
(909) 796-2978
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3905
CA
Other
Enumeration date
08/11/2007
Last updated
08/11/2007
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