| Mr Hyungchul Park, OTR/L | |
|
580 Tommy Lee Fuller Dr, Loganville, GA 30052-3943 | |
| (770) 466-7388 | |
| Not Available |
| Full Name | Mr Hyungchul Park |
|---|---|
| Gender | Male |
| Speciality | Occupational Therapist In Private Practice |
| Experience | 18 Years |
| Location | 580 Tommy Lee Fuller Dr, Loganville, Georgia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275039018 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | OT006922 (Georgia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Empowerme Rehabilitation Georgia, Llc | 4284063835 | 80 |
| Provider Name | Empowerme Rehabilitation Georgia, Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1952934374 PECOS PAC ID: 4284063835 Enrollment ID: O20200401003230 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Hyungchul Park, OTR/L 580 Tommy Lee Fuller Dr, Loganville, GA 30052-3943 Ph: () - | Mr Hyungchul Park, OTR/L 580 Tommy Lee Fuller Dr, Loganville, GA 30052-3943 Ph: (770) 466-7388 |
Sarah Caroline Reeves Johnson, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 311 Cooper Rd, Loganville, GA 30052 Phone: 678-205-5437 | |
Anna Wilfong, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1949 Highway 81 Ste 100, Loganville, GA 30052 Phone: 770-207-6390 | |
Chandan Gosar, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 311 Cooper Rd, Loganville, GA 30052 Phone: 678-205-5437 Fax: 678-377-7950 | |
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Ms. Rebecca Mccall Smith, MSOT, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 311 Cooper Rd, Loganville, GA 30052 Phone: 678-205-5437 | |
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