Abraham Kim, PTA
Physical Therapy Assistant in Chicago, IL. Individual provider (NPI-1).
NPI number1164055646
StatusActive
Last updated in NPPESFeb 12, 2020
Details
- NPI
- 1164055646
- Entity type
- Individual (NPI-1)
- Name
- Abraham Kim
- Credential
- PTA
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Feb 12, 2020
- Certification date
- Feb 12, 2020
- Last updated
- Feb 12, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225200000X | Physical Therapy Assistant | 160008327 | IL | Yes |
Practice location
2124 W Roscoe StChicago, IL 60618-6220
Phone 773-899-4051
Mailing address
2124 W Roscoe StChicago, IL 60618-6220
Phone 773-899-4051
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 255 Physical Therapy Assistant providers in Chicago · All 81,422 providers in Chicago
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