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Organization
MEDICINE HAND
Active
Organization
MEDICINE HAND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONGMYUNG KIM (DPT)
(410) 733-3119
Entity
Organization
Contact information
Practice address
7004 LITTLE RIVER TPKE STE B, ANNANDALE, VA 22003-3201
(410) 733-3119
Mailing address
13566 PLUMBAGO DR, CENTREVILLE, VA 20120-2702
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
05/18/2021
Last updated
05/18/2021
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