Jennie Yoonjung Song
Occupational Therapist - Neurorehabilitation
1150 Tilton Dr
Sunnyvale
, California 94087-2440
Jennie Yoonjung Song
Occupational Therapist - Neurorehabilitation
1150 Tilton Dr
Sunnyvale
, California 94087-2440
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About
Features
Specialties
- Occupational Therapist - Neurorehabilitation
Languages spoken
- English
Location
First Address
- Jennie Yoonjung Song
- 2787a Mauricia Ave
- Santa Clara, CA
- Zip : 95051-7032
- Phone :
Second Address
- Jennie Yoonjung Song
- 1150 Tilton Dr
- Sunnyvale, CA
- Zip : 94087-2440
- Phone : (408) 735-7200
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225XN1300X | Occupational Therapist - Neurorehabilitation | 4911 | CA |
National Provider Identifier
| NPI | 1346692225 |
|---|---|
| Provider Name | Jennie Yoonjung Song |
| First Address | Santa Clara, CA 95051-7032 |
| Second Address | Sunnyvale, CA 94087-2440 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/07/2016 |
| Last Update Date | 06/07/2016 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.