Individual
HOON KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
710 N SUN DR, LAKE MARY, FL 32746-2507
(407) 805-3131
Mailing address
5617 WOOD SORRELL CT, WINTER SPRINGS, FL 32708-5076
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA28553
FL
Other
Enumeration date
09/13/2018
Last updated
09/13/2018
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