Individual
EMMA KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L, CLT
Contact information
Practice address
119 W 57TH ST STE 212, NEW YORK, NY 10019-2302
(212) 421-5505
Mailing address
4326 165TH ST, APT 3H, FLUSHING, NY 11358-3257
(914) 434-3006
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
020985
NY
Other
Enumeration date
03/03/2017
Last updated
01/25/2021
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