Individual
MS. CANDACE MINOR KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
4150 CLEMENT ST (117), SAN FRANCISCO, CA 94121
(415) 221-4810
(415) 750-6663
Mailing address
1136 EVERETT AVE, OAKLAND, CA 94602-1345
(415) 221-4810
(415) 750-6663
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6121
CA
Other
Enumeration date
10/31/2006
Last updated
07/08/2007
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