Doctor Name: | MS. HYE RYUN HELEN KIM |
NPI Number: | 1003092149 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | OTR/L, CHT |
License Number: | 2877 |
Business Practice Address: | 25012 104th Ave Se Ste C Kent, WA - 980302821 |
Business Phone Number: | 2538563477 |
Business Fax Number: | |
Mailing Address: | 790 Remington Blvd, BOLINGBROOK |
State: | IL |
Postal Code: | 604404909 |
Phone Number: | 6302962223 |
Fax Number: | 6307599510 |
NPI Enumeration Date: | 01/19/2008 |
NPI Last Update Date: | 07/13/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225XH1200X |
License Number: | 2877 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Occupational Therapist |
Taxonomy Specialization: | Hand |
Taxonomy Definition: |