Individual
MS. GRACE J. KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
525 E 68TH ST, NEW YORK, NY 10065-4870
(212) 746-1356
Mailing address
383 GRAND ST, M1602, NEW YORK, NY 10002-3905
(917) 657-2159
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
012501-1
NY
Other
Enumeration date
04/27/2007
Last updated
09/25/2013
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