Individual
CHRISTINE KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
81 PROFESSIONAL CENTER PKWY, SAN RAFAEL, CA 94903-2702
(415) 479-5161
Mailing address
254 WOODLAND AVE, SAN RAFAEL, CA 94901-5046
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
16685
CA
Other
Enumeration date
01/15/2019
Last updated
01/15/2019
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