Individual
CAROLINE SOHJUNG KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
4660 ENCINAS DR, LA CANADA, CA 91011-2227
(818) 454-9597
Mailing address
4660 ENCINAS DR, LA CANADA, CA 91011-2227
(818) 454-9597
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
17051
CA
Other
Enumeration date
01/02/2015
Last updated
03/01/2017
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