Individual
KIMBERLY LUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16411 NE 24TH ST, BELLEVUE, WA 98008-2427
(425) 456-5787
Mailing address
16411 NE 24TH ST, BELLEVUE, WA 98008-2427
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT60122081
WA
Other
Enumeration date
12/09/2013
Last updated
12/09/2013
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