Individual
ABRAHAM KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
1155 VIA VERDE, SAN DIMAS, CA 91773-4428
(909) 324-3698
Mailing address
PO BOX 1806, DURHAM, NC 27702-1806
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
23454
CA
Other
Enumeration date
07/18/2022
Last updated
07/18/2022
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