Individual
MIJU KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD
Contact information
Practice address
3700 PARK PL, MONTROSE, CA 91020-1623
(818) 637-2127
Mailing address
3700 PARK PL, MONTROSE, CA 91020-1623
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT 9289
CA
Other
Enumeration date
11/23/2007
Last updated
11/23/2007
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