Individual
KAYLA KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
120 CENTER ST STE 109, AUBURN, ME 04210-6339
(207) 829-8007
Mailing address
188 EAST AVE, LEWISTON, ME 04240-5515
(207) 312-8437
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT3815
ME
225XP0200X
Pediatric Occupational Therapist
OT3815
ME
Other
Enumeration date
03/11/2020
Last updated
12/12/2023
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