Individual
JAKYUNG PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13461 RAMONA AVE, CHINO, CA 91710-5029
(909) 628-1201
Mailing address
13461 RAMONA AVE, CHINO, CA 91710-5029
(909) 628-1201
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT11381
CA
Other
Enumeration date
04/16/2014
Last updated
05/06/2026
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