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Individual

JIMMY HWANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OTR/L

Contact information

Practice address
802 E US HIGHWAY 20, MICHIGAN CITY, IN 46360-7424
(219) 872-7251
Mailing address
5855 N CALIFORNIA AVE, CHICAGO, IL 60659-3902

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
056.012846
IL
225X00000X
Occupational Therapist
Primary
31006830A
IN

Other

Enumeration date
12/17/2019
Last updated
12/17/2019
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