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Individual

CHANG MIN KIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
4347 W NORTHWEST HWY STE 180, DALLAS, TX 75220-3863
(214) 654-0947
Mailing address
434 RED RIVER TRL APT 2108, IRVING, TX 75063-6546

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1334505
TX

Other

Enumeration date
11/20/2020
Last updated
11/20/2020
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