Individual
TAMMY SUNJUNG KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1349 CRABTREE RD, WAYNESVILLE, NC 28785-7315
(828) 454-9260
Mailing address
847 MOUNTAIN VIEW DR, MAGGIE VALLEY, NC 28751-8863
(951) 541-4388
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
14170
NC
Other
Enumeration date
06/12/2021
Last updated
06/22/2021
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