| NPI | 1497521355 |
|---|---|
| Former Name | JONG HYEON KIM |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1385782) |
| Enumeration Date | 2023-11-30 |
| Last Update Date | 2025-07-28 |