Individual
BO KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
140 SYLVAN AVE STE 301A, ENGLEWOOD CLIFFS, NJ 07632-2531
(201) 894-5453
Mailing address
80B CENTRE PL, PALISADES PARK, NJ 07650-1306
(551) 574-6115
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18KT01396000
NJ
Other
Enumeration date
04/06/2021
Last updated
04/06/2021
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