Individual
MS. MIE HAE KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1515 LAMBERTS MILL RD, WESTFIELD, NJ 07090-4763
(908) 233-9700
(908) 233-4266
Mailing address
77 HARRISON AVE, COLONIA, NJ 07067-2228
(908) 380-7642
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
40QB00190900
NJ
Other
Enumeration date
02/15/2012
Last updated
02/15/2012
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