Individual
CYNTHIA KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12010 ETRIS RD STE A150, ROSWELL, GA 30075-8009
(770) 998-9599
Mailing address
12010 ETRIS RD STE A150, ROSWELL, GA 30075-8009
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT007322
GA
Other
Enumeration date
03/14/2019
Last updated
03/14/2019
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