Jae-Woo Im, OT

NPI #1235469776 in Fulton, Maryland

Provider Information

NPI Number: 1235469776
Entity Type: Individual
Name: Jae-Woo Im, OT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Occupational Therapist
Credential: OT
Enumeration Date: Jan 6, 2010
Last Updated: Feb 10, 2014

Practice Location

Address: 8925 TAWES ST
City: Fulton
State: Maryland
ZIP Code: 20759-2582
Phone: (240) 997-0326

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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