| NPI | 1114313798 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES KIM Owner 984-377-3422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: MN 57253) |
| Enumeration Date | 2015-04-10 |
| Last Update Date | 2016-03-24 |