Provider Demographics
NPI:1952554222
Name:HO, SHIOU-JUNG (MA, OTR/L)
Entity Type:Individual
Prefix:MR
First Name:SHIOU-JUNG
Middle Name:
Last Name:HO
Suffix:
Gender:M
Credentials:MA, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 WEST ST APT 3107
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10004-1034
Mailing Address - Country:US
Mailing Address - Phone:917-434-9124
Mailing Address - Fax:212-400-0384
Practice Address - Street 1:1 WEST ST APT 3107
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10004-1034
Practice Address - Country:US
Practice Address - Phone:917-434-9124
Practice Address - Fax:212-400-0384
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-30
Last Update Date:2008-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY007071-1225XF0002X, 225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics
No225XF0002XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistFeeding, Eating & Swallowing