Individual
NINA PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
020032-1
NY
225X00000X
Occupational Therapist
Primary
46TR00965600
NJ
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
03/02/2017
Last updated
05/30/2024
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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