Individual
ELISA KIM KWON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
10001 WOODCREEK OAKS BLVD, #1311, ROSEVILLE, CA 95747-5116
(916) 749-4432
Mailing address
10001 WOODCREEK OAKS BLVD., #1311, ROSEVILLE, CA 95747
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1294
CA
Other
Enumeration date
03/21/2008
Last updated
03/21/2008
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