Individual
LOANN KIM DO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
579 AUTO CENTER DR, WATSONVILLE, CA 95076-3727
(831) 722-9680
(831) 724-9311
Mailing address
103 JENNIFER CT, APTOS, CA 95003-2814
(831) 662-0979
Taxonomy
Speciality
Code
Description
License number
State
225XN1300X
Neurorehabilitation Occupational Therapist
Primary
5516
CA
Other
Enumeration date
01/17/2007
Last updated
07/08/2007
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