| NPI | 1972145423 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MI SUK KIM Owner 201-567-0005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 171100000X Acupuncturist |
| Enumeration Date | 2019-10-16 |
| Last Update Date | 2020-06-05 |