Provider Demographics
NPI:1699908293
Name:CHOI, JIN HEE (OTR)
Entity type:Individual
Prefix:
First Name:JIN HEE
Middle Name:
Last Name:CHOI
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:72 BRINKERHOFF TER FL 1
Mailing Address - Street 2:
Mailing Address - City:PALISADES PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07650-1138
Mailing Address - Country:US
Mailing Address - Phone:917-470-3250
Mailing Address - Fax:
Practice Address - Street 1:72 BRINKERHOFF TER FL 1
Practice Address - Street 2:
Practice Address - City:PALISADES PARK
Practice Address - State:NJ
Practice Address - Zip Code:07650-1138
Practice Address - Country:US
Practice Address - Phone:917-470-3250
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-29
Last Update Date:2009-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ46TR00501100225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist