Individual
EUNMI WANG JEONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
1118 W CROSS ST, ANDERSON, IN 46011-9530
(765) 643-1504
Mailing address
17763 OAK EDGE CIR, NOBLESVILLE, IN 46062-9676
(706) 621-2331
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32003656A
IN
Other
Enumeration date
08/07/2022
Last updated
08/07/2022
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