Individual
AMANDA Y KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
464 CHURCH RD STE 400, GLUCKSTADT, MS 39110-6940
(601) 707-5943
Mailing address
921 W BEACON ST, PHILADELPHIA, MS 39350-3229
(601) 650-0002
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT7761
MS
Other
Enumeration date
02/25/2025
Last updated
02/25/2025
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