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Yoon Kim

Physical Therapist in Modesto, CA. Individual provider (NPI-1).

NPI number1356907331
StatusActive
Last updated in NPPESMay 7, 2020

Details

NPI
1356907331
Entity type
Individual (NPI-1)
Name
Yoon Kim
Sex
Female
Sole proprietor
No
Enumeration date
May 14, 2019
Certification date
May 7, 2020
Last updated
May 7, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical TherapistPT292427CAYes
225100000X Physical TherapistPT60981356WA

Practice location

1303 Mable Ave
Modesto, CA 95355

Phone 408-891-0739

Mailing address

38532 Royal Ann Cmn
Fremont, CA 94536-4216

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