Individual
SUNMI KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
5033 VERANDA TRCE, ROUND ROCK, TX 78665-2099
(512) 676-9422
Mailing address
5033 VERANDA TRCE, ROUND ROCK, TX 78665-2099
(512) 676-9422
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
215434
TX
Other
Enumeration date
10/16/2018
Last updated
10/16/2018
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