Individual
KALLIE KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3100 E BUTLER AVE, FLAGSTAFF, AZ 86004-0008
(785) 213-1894
Mailing address
1553 W DAYDREAM DR, FLAGSTAFF, AZ 86001-7212
(785) 213-1894
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTH-008708
AZ
Other
Enumeration date
08/06/2013
Last updated
01/17/2025
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