Park, Justine Michelle

Park, Justine Michelle is an sole proprietor health care provider with primary practice located at 43555 Grimmer Blvd Apt B115 , Fremont CA 94538-5981. 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, Justine Michelle can be contacted via phone (510) 274-7600.

Contact Information

Primary practice address
43555 Grimmer Blvd Apt B115 Fremont CA 94538-5981
Phone: (510) 274-7600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 11173 California

Profile Details

NPI number 1033485594
LBN Legal business name Park, Justine Michelle
Credentials OTR/L
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 29th, 2012
Last updated Mar 29th, 2012 - about 14 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.

Request for update

Popular Providers