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Marie Miyeon Jeong, OTR

Occupational Therapist in Long Island City, NY. Individual provider (NPI-1).

NPI number1104586239
StatusActive
Last updated in NPPESDec 30, 2021

Details

NPI
1104586239
Entity type
Individual (NPI-1)
Name
Marie Miyeon Jeong
Credential
OTR
Sex
Female
Sole proprietor
No
Enumeration date
Dec 30, 2021
Certification date
Dec 30, 2021
Last updated
Dec 30, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225X00000X Occupational Therapist026431NYYes

Practice location

4325 Hunter St Apt 339e
Long Island City, NY 11101-4458

Phone 914-886-8772

Mailing address

4325 Hunter St Apt 339e
Long Island City, NY 11101-4458

Phone 914-886-8772

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