Individual
ISABEL KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3253 HONOLULU AVE, APT. B, GLENDALE, CA 91214-3374
(818) 631-5471
Mailing address
3253 HONOLULU AVE, APT. B, GLENDALE, CA 91214-3374
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
14006
CA
Other
Enumeration date
01/16/2014
Last updated
01/16/2014
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