Organization
BROOKE ARMY MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YUN CHUNG OTD (OCCUPATIONAL THERAPIST)
(210) 916-3400
Entity
Organization
Contact information
Practice address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4504
(210) 916-3400
Mailing address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4504
(210) 916-3400
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
60776298
OT
WA
Enumeration date
10/01/2024
Last updated
10/03/2024
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