Individual
JUDY KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12801 N CENTRAL EXPY STE 1150, DALLAS, TX 75243-1779
(972) 702-0300
Mailing address
17811 VAIL ST APT 4102, DALLAS, TX 75287-6465
(631) 992-4913
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
524022
TX
Other
Enumeration date
12/02/2024
Last updated
12/02/2024
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