Park, Chanelle Jung
Park, Chanelle Jung is an individual health care provider with primary practice located at 2978 Centreville Rd , Herndon VA 20171-6253. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Park, Chanelle Jung can be contacted via phone (703) 934-5000.Contact Information
Primary practice address
2978 Centreville Rd
Herndon VA 20171-6253
Phone: (703) 934-5000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 0119006969 | Virginia |
Profile Details
| NPI number | 1396293825 |
|---|---|
| LBN Legal business name | Park, Chanelle Jung |
| Credentials | OTR/L |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 13th, 2016 |
| Last updated | Sep 13th, 2016 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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