Individual
DAVID KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
8 LACKAWANNA PLZ STE A, MONTCLAIR, NJ 07042-3604
(973) 319-4015
Mailing address
8 LACKAWANNA PLZ STE A, MONTCLAIR, NJ 07042-3604
(973) 319-4015
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
40QA01981800
NJ
Other
Enumeration date
12/07/2020
Last updated
12/07/2020
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