Individual
MICHAEL S. KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
1991 FORDHAM DR STE 102, FAYETTEVILLE, NC 28304-3774
(910) 484-4653
(910) 483-9256
Mailing address
1991 FORDHAM DR STE 102, FAYETTEVILLE, NC 28304-3774
(910) 484-4653
(910) 483-9256
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
31004271A
IN
225XH1200X
Hand Occupational Therapist
Primary
14542
NC
Other
Enumeration date
08/20/2006
Last updated
11/03/2021
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