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

Jiyea Park

Individual provider Occupational Therapist · NPI 1417543471

Jiyea Park is an Occupational Therapist in Mesa, Arizona. Practices as a sole proprietor. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

10165 E Hampton Ave Ste 111
Mesa, AZ 85209-3327
Phone: (480) 354-5424
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X

Record details

NPI number1417543471
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 14, 2020
Last updated in NPPESDecember 14, 2020
Certification dateDecember 14, 2020
Mailing address631 W Pantera Ave, Mesa, AZ 85210-8320

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