Individual
MISS REBECCA KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR
Contact information
Practice address
622 W 168TH ST, NEW YORK, NY 10032-3720
(212) 305-7674
Mailing address
449 W 44TH ST APT 4N, NEW YORK, NY 10036-4447
(212) 262-0309
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
013615-1
NY
Other
Enumeration date
03/30/2007
Last updated
07/08/2007
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