Organization
CAPITOL HEALTH CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KYOUNGHWA JOY KWON PH.D. (CCC-SLP)
(105) 054-5594
Entity
Organization
Contact information
Practice address
4115 SEARS HOUSE CT, ELLICOTT CITY, MD 21043-5407
(410) 505-4559
Mailing address
4115 SEARS HOUSE CT, ELLICOTT CITY, MD 21043-5407
(410) 505-4559
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
10/25/2021
Last updated
09/06/2023
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