Individual
MRS. ELLEN JUNG PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14119 DEERBROOK LN, CHINO HILLS, CA 91709-4807
(909) 628-9904
Mailing address
14119 DEERBROOK LN, CHINO HILLS, CA 91709-4807
(909) 628-9904
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2736
CA
Other
Enumeration date
12/22/2009
Last updated
12/22/2009
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