Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0200X | Occupational Therapist - Pediatrics | 1350 | CA |
NPI | 1063741502 |
---|---|
Provider Name | Jennie Jung Huh |
First Address | Chino, CA 91710-8135 |
Second Address | Chino, CA 91710-8135 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/12/2009 |
Last Update Date | 11/12/2009 |