Individual
JEY PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
1761 INTERNATIONAL PKWY STE 135, RICHARDSON, TX 75081-1864
(972) 845-7875
Mailing address
3800 GILLESPIE DR, CARROLLTON, TX 75010-6314
(469) 955-9592
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
467298
TX
Other
Enumeration date
02/23/2022
Last updated
11/14/2024
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