# M & K PHYSICAL THERAPY REHAB INSTITUTE PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245586601
- **Authorized official:** WOO SUP KIM DC (OWNER)
- **Authorized official phone:** (213) 483-5447

## Contact information

- **Practice address:** 2120 W 8TH ST, SUITE 200, LOS ANGELES, CA 90057-4019
- **Practice address phone:** (213) 483-5447
- **Mailing address:** 2120 W 8TH ST, SUITE 200, LOS ANGELES, CA 90057-4019
- **Mailing address phone:** (213) 483-5447

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2251G0304X | Geriatric Physical Therapist | 15084 | CA | Yes |

## Other

- **Enumeration date:** 08/03/2012
- **Last updated:** 08/03/2012
