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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JAE-WOO IM, OT

Active Sole Proprietor

JAE-WOO IM, OT is a Occupational Therapist healthcare provider located in FULTON, Maryland. NPI 1235469776 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · FULTON, MD

Registration Details

NPI Number
1235469776
Provider Type
Individual
Gender
Male
NPI Issued
Jan 6, 2010 (16.580213383275 yrs)
Last Updated
Feb 10, 2014
License
05416 (MD)
Sole Proprietor
Yes

Practice Information

Address
8925 TAWES ST
FULTON, MD, 207592582
Browse MD providers · Browse ZIP 20759
Phone
2409970326
Fax
4109284907
Primary Specialty
Occupational Therapist
225X00000X

Other Occupational Therapist Providers in FULTON, MD

Name Credential NPI
SHARON RENEE KAYE OTR/L 1689144016
HEATHER PERRY MS, OTR/L 1194314898
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.