Individual
ANNIE PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MAOTRL
Contact information
Practice address
2552 KELVIN AVE, UNIT 302, IRVINE, CA 92614-5851
(949) 233-8931
Mailing address
2552 KELVIN AVE, UNIT 302, IRVINE, CA 92614-5851
Taxonomy
Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
Primary
10975
CA
Other
Enumeration date
12/04/2012
Last updated
12/04/2012
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