Individual
JIYOUNG KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 N STEPHANIE ST STE 310, HENDERSON, NV 89014-6608
(702) 454-1162
Mailing address
6760 KIMBERLY BLVD, NORTH LAUDERDALE, FL 33068-2545
(954) 451-4100
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
25533
FL
225X00000X
Occupational Therapist
Primary
3543
NV
Other
Enumeration date
08/31/2024
Last updated
09/10/2024
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