Individual
BRIAN WOOGI KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
14153 ROBERT PARIS CT STE A, CHANTILLY, VA 20151-4225
(703) 865-6455
(703) 649-6455
Mailing address
14153 ROBERT PARIS CT STE A, CHANTILLY, VA 20151-4225
(703) 395-1305
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
0121001206
VA
225100000X
Physical Therapist
Primary
2305208494
VA
225100000X
Physical Therapist
24747
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1407284714
—
VA
Enumeration date
10/23/2013
Last updated
05/01/2025
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