Individual
GRIGORIY KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
2280 DIAMOND BLVD, CONCORD, CA 94520-5750
(925) 269-9800
Mailing address
470 N CIVIC DR APT 313, WALNUT CREEK, CA 94596-3344
(415) 745-5047
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
305717
CA
Other
Enumeration date
02/29/2024
Last updated
02/29/2024
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