Individual
LAURIANNE GUCE KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA, BS
Contact information
Practice address
8953 NE TENNYSON ST APT 218, HILLSBORO, OR 97006-2908
(714) 504-6775
Mailing address
8953 NE TENNYSON ST APT 218, HILLSBORO, OR 97006-2908
(714) 504-6775
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
09434
OR
225200000X
Physical Therapy Assistant
48166
CA
Other
Enumeration date
01/27/2017
Last updated
01/27/2017
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