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Jae-Woo Im, OT

NPI 1235469776 · on the registry since 2010 · sole proprietor

Practice

Address
8925 Tawes St
Fulton, MD 20759
Phone
(240) 997-0326
Fax
(410) 928-4907

Registry record

Primary taxonomy
225X00000X
225X00000X
Licence states on file
MD
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2014-02-10

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 Maryland