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Daniel Kim

Physical Therapist in Ashburn, VA. Individual provider (NPI-1).

NPI number1013662469
StatusActive
Last updated in NPPESFeb 15, 2022

Details

NPI
1013662469
Entity type
Individual (NPI-1)
Name
Daniel Kim
Sex
Male
Sole proprietor
No
Enumeration date
Feb 15, 2022
Certification date
Feb 15, 2022
Last updated
Feb 15, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist––Yes

Practice location

43330 Junction Plz Ste 122
Ashburn, VA 20147-3407

Phone 703-972-1040

Mailing address

25316 Ripleys Field Dr
Chantilly, VA 20152-4443

Phone 774-258-1959

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