Individual
MRS. KYUNG M KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
14390 UNIFORM DR, CENTREVILLE, VA 20121-2321
(425) 256-1939
Mailing address
14390 UNIFORM DR, CENTREVILLE, VA 20121
(425) 256-1939
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
0119001253
VA
Other
Enumeration date
12/16/2016
Last updated
12/16/2016
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