Individual
DEAN EUIJEONG KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, OTR/L
Contact information
Practice address
REHABILITATION THERAPIES, 914 S. SCHEUBER RD, CENTRALIA, WA 98531
(360) 330-8720
(360) 330-8737
Mailing address
REHABILITATION THERAPIES, 914 S. SCHEUBER RD, CENTRALIA, WA 98531
(360) 330-8720
(360) 330-8737
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT60595829
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
KIME178CZ
DRIVER LICENSE NUMBER
WA
Enumeration date
07/18/2018
Last updated
08/24/2022
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