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Individual

DANIEL D KANG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MSOT

Contact information

Practice address
1010 N 102ND ST STE 300, OMAHA, NE 68114-2122
(402) 891-1118
Mailing address
2643 S MOONLIGHT WAY, YUMA, AZ 85365-1186

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
437059
OR
225X00000X
Occupational Therapist
OT61484881
WA
225X00000X
Occupational Therapist
OTH-008206
AZ

Other

Enumeration date
11/02/2023
Last updated
11/02/2023
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