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NPI Code Detail

MEDICARE: MS. DEANNA CHUNG

MEDICARE:  MS. DEANNA  CHUNG
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225XP0019XPhysical Rehabilitation Occupational Therapist3687OH

General Provider Information

NPI Number : 1447527858
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. DEANNA CHUNG
Provider Business Mailing Address
First Line : 5227 OLGATE LN
Second Line :
City : COLUMBUS
State : OH
Zip : 43220-2571
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4270 GLENDALE MILFORD RD
Second Line :
City : BLUE ASH
State : OH
Zip : 45242-3704
Country : US
Telephone Number : 515-618-3680
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/30/2011
Last Update Date : 11/30/2011

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Directions to “ MS. DEANNA CHUNG ” Practice Location

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