Individual
CALVIN KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
925 S SEMORAN BLVD STE 110A, WINTER PARK, FL 32792-5313
(888) 830-1050
Mailing address
9517 OSWALD LN, CHARLOTTE, NC 28277-6638
(704) 941-7022
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A7023
NC
Other
Enumeration date
08/20/2019
Last updated
08/20/2019
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