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1275212623
TY KIM
CHULA VISTA, CA
NPI
1275212623
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Former Name
TAHYO KIM
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: CA OT22821)
Enumeration Date
2023-07-13
Last Update Date
2023-07-13
Business Address
TY KIM OTR/L
84 E J ST
CHULA VISTA, CA 91910-6115
Phone number: 619-425-9600
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Mailing Address
TY KIM OTR/L
1551 4TH AVE UNIT 507
SAN DIEGO, CA 92101-3151
Phone number: 831-277-2109
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