Organization
IATHLETE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NOOLEE KIM PT, DPT, OCS (OWNER)
(424) 250-0365
Entity
Organization
Contact information
Practice address
22715 HAWTHORNE BLVD STE B, TORRANCE, CA 90505-3613
(424) 250-0365
Mailing address
1411 LOMITA BLVD UNIT 5, HARBOR CITY, CA 90710-3806
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
02/14/2019
Last updated
02/14/2019
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