Individual
MS. JISUN ESTHER KIM
Active
Individual
MS. JISUN ESTHER KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10704
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
025610-1
UNIVERSITY OF THE STATE OF NEW YORK EDUCATION DEPARTMENT OFF ICE OF PROFESSIONS
NY
Enumeration date
03/09/2012
Last updated
02/01/2019
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