Individual
KIM PHU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
904 7TH AVE, SEATTLE, WA 98104-1132
(206) 860-2210
Mailing address
904 7TH AVE, SEATTLE, WA 98104-1132
(206) 860-2210
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT61232885
WA
Other
Enumeration date
12/02/2021
Last updated
04/25/2023
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