Individual
YUNG S KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
633 GOV. CARLOS CAMACHO RD, TAMUNING, GU 96913
(671) 647-7520
Mailing address
388 YPAO RD, TAMUNING, GU 96913-3701
(671) 647-7520
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
PT000062
GU
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT000062
GUAM LICENSE
GU
Enumeration date
01/11/2007
Last updated
07/08/2007
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