Individual
ELAINE KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT
Contact information
Practice address
1000 S FREMONT AVE UNIT 27, ALHAMBRA, CA 91803-8849
(626) 289-7472
Mailing address
1000 S FREMONT AVE UNIT 27, ALHAMBRA, CA 91803-8849
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT15229
CA
Other
Enumeration date
08/31/2017
Last updated
08/31/2017
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