Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Chanelle Jung Park, OTR/L

Individual provider Occupational Therapist · NPI 1396293825

Chanelle Jung Park, OTR/L is an Occupational Therapist in Herndon, Virginia. Licensed in Virginia. Registered with an NPI since 2016.

Licensed in
VA
In the registry since
2016
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

2978 Centreville Rd
Herndon, VA 20171-6253
Phone: (703) 934-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 0119006969 (VA)

Record details

NPI number1396293825
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR/L
Sole proprietorNo
NPI enumeratedSeptember 13, 2016
Last updated in NPPESSeptember 13, 2016

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