Doctor Name: | MRS. DEBBIE LYNN JUNG |
NPI Number: | 1184816324 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MPT |
License Number: | 7153 |
Business Practice Address: | 1661 Park Ridge Dr Chaska, MN - 553182841 |
Business Phone Number: | 9524032750 |
Business Fax Number: | |
Mailing Address: | 1661 Park Ridge Dr, CHASKA |
State: | MN |
Postal Code: | 553182841 |
Phone Number: | 9524032750 |
Fax Number: | |
NPI Enumeration Date: | 08/13/2007 |
NPI Last Update Date: | 08/13/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251X0800X |
License Number: | 7153 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Orthopedic |
Taxonomy Definition: |