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Individual

KYUNG MIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
333 S LINE ST APT E4, LANSDALE, PA 19446
(267) 808-6140
Mailing address
333 S LINE ST APT E4, LANSDALE, PA 19446
(267) 808-6140

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC013238
PA

Other

Enumeration date
03/14/2014
Last updated
03/14/2014
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