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Individual

MS. JISUN ESTHER KIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
4955 S ALMA SCHOOL RD STE 10, CHANDLER, AZ 85248
(480) 812-1800
(480) 812-1839
Mailing address
4955 S ALMA SCHOOL RD STE 10, CHANDLER, AZ 85248
(480) 812-1800
(480) 812-1839

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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