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Justine Park, OTR/L
NPI 1033485594 · on the registry since 2012 · sole proprietor
Practice
- Address
- 43555 Grimmer Blvd Apt B115
Fremont, CA 94538 - Phone
- (510) 274-7600
Registry record
- Primary taxonomy
- 225X00000X
225X00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2012-03-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California