Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jae-Woo Im, OT

Individual provider Occupational Therapist · NPI 1235469776

Jae-Woo Im, OT is an Occupational Therapist in Fulton, Maryland. Practices as a sole proprietor. Licensed in Maryland.

Licensed in
MD
In the registry since
2010
What do these letters mean?
OT — Occupational Therapist
Helps people regain the skills needed for daily living and work.

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Practice location Address checks out

8925 Tawes St
Fulton, MD 20759-2582
Phone: (240) 997-0326
Fax: (410) 928-4907
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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 05416 (MD)

Record details

NPI number1235469776
Entity typeIndividual (Type 1)
GenderMale
Credentials OT
Sole proprietorYes
NPI enumeratedJanuary 6, 2010
Last updated in NPPESFebruary 10, 2014

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