Individual
MS. HYUNG MI KOOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
1364 CLIFTON RD NE, ATLANTA, GA 30322-1059
(404) 712-7288
(404) 712-7774
Mailing address
1136 LINCOLN COURT AVE NE, ATLANTA, GA 30329-1824
(404) 634-6974
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3107
GA
Other
Enumeration date
03/22/2007
Last updated
07/08/2007
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