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Individual

KIM FONG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
L.AC.P.T.

Contact information

Practice address
415 RAHWAY AVE, 1ST FLOOR, REAR, WESTFIELD, NJ 07090-3371
(908) 301-9055
(908) 301-9056
Mailing address
415 RAHWAY AVE, 1ST FLOOR, REAR, WESTFIELD, NJ 07090-3371
(908) 301-9055
(908) 301-9056

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
25MZ00021400
NJ
2251P0200X
Pediatric Physical Therapist
40QA00680100
NJ
2251X0800X
Orthopedic Physical Therapist
Primary
40QA00680100
NJ

Other

Enumeration date
04/06/2007
Last updated
09/11/2025
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