Individual
DAVID KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTA
Contact information
Practice address
12515 GRANITE VALLEY DR, SUN CITY WEST, AZ 85375
(916) 412-0193
Mailing address
2214 W BLOOMFIELD RD, PHOENIX, AZ 85029-2703
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
OTA-047105
AZ
224Z00000X
Occupational Therapy Assistant
Primary
OTA047105
AZ
Other
Enumeration date
05/12/2025
Last updated
05/12/2025
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