Individual provider · Type 1 NPI

Min Ji Song, OTD

Occupational Therapist · Stockton, CA

NPI number 1841077443 Active

Practice location

534 E Pine St
Stockton, CA 95204-5534

Mailing address

3815 Venice Pl
Carmichael, CA 95608-2774

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X24535 (CA)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1841077443

Min Ji Song, OTD's National Provider Identifier is 1841077443, issued on Sep 8, 2023. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Stockton, CA. The record was last updated on Sep 8, 2023.