| NPI | 1124741202 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MISUK KIM Provider 917-582-6187 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 171100000X Acupuncturist |
| Enumeration Date | 2022-09-22 |
| Last Update Date | 2022-09-22 |