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Individual

PAUL KIM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1378 WILLOW OAK RD, CASTLE ROCK, CO 80104-8566
(646) 269-2019
Mailing address
1378 WILLOW OAK ROAD, CASTLE ROCK, CO 80104
(646) 269-2019

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
0013760
CO

Other

Enumeration date
03/15/2017
Last updated
03/15/2017
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