LISA M. KIM

GOSHEN, IN
NPI1033310479
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: IN  06002626A)
Enumeration Date2007-05-31
Last Update Date2011-01-05
Business Address
Mrs. LISA M. KIM PTA
1615 WINSTED DR SUITE 3
GOSHEN, IN 46526-4696
Phone number: 574-534-4648
Mailing Address
Mrs. LISA M. KIM PTA
65545 BARRENS DR
GOSHEN, IN 46526-6430
Phone number: 574-533-9727
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