Active NPIIndividual providerSole proprietor

So Hyun Park, OTR/L

Occupational Therapist in East Orange, New Jersey

NPI Number1073319240
Practice location
101 N Grove St, East Orange, NJ 07017-4712
Fax
—
Last updated
February 19, 2025

So Hyun Park is an Occupational Therapist based in East Orange, NJ. So Hyun Park practices in East Orange, NJ and has the professional credentials of OTR/L. The NPI Number for So Hyun Park is 1073319240 and holds a License No. 46TR01158300 (NJ). The current practice location address for So Hyun Park is 101 N Grove St, East Orange, NJ 07017-4712 and can be reached out via phone at 973-672-1700.

Provider Profile Details

NPI Number
1073319240
Provider Name
So Hyun Park
Credential
OTR/L
Provider Entity Type
Individual
Gender
Female
Address
101 N Grove St, East Orange, NJ 07017-4712
Phone Number
973-672-1700
Primary Taxonomy
Occupational Therapist · 225X00000X
Sole Proprietor
Yes
Provider Enumeration Date
February 19, 2025
Last Update Date
February 19, 2025
Certification Date
February 19, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
101 N Grove St
East Orange, NJ 07017-4712
Zip
07017-4712
Phone Number
973-672-1700
East Orange, NJ 07017Get directions →

Provider Business Mailing Address Details

Address
1350 15TH St Apt 12H
Fort Lee, NJ 07024-2027
City
Fort Lee
State
NJ
Zip
07024-2027
Phone Number
949-322-2227

License Information

License Number
46TR01158300
License State
NJ
Taxonomy
Occupational Therapist · 225X00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of So Hyun Park, OTR/L?

The NPI number of So Hyun Park, OTR/L is 1073319240. It was assigned on February 19, 2025 and is currently active in the NPPES registry.

What is the specialty of So Hyun Park, OTR/L?

So Hyun Park, OTR/L is registered under the primary taxonomy Occupational Therapist (code 225X00000X), licensed in NJ under license number 46TR01158300.

Where does So Hyun Park, OTR/L practice?

The practice location is 101 N Grove St, East Orange, NJ 07017-4712. The office can be reached at 973-672-1700 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1073319240 directly on the NPPES registry website.

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