Doctor Name: | DR. BIANCA BELLE BETHEL KIM |
NPI Number: | 1063751857 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT, DPT, CEEAA |
License Number: | 18357 |
Business Practice Address: | 100 N Beacon St Boston, MA - 021341928 |
Business Phone Number: | 6179436294 |
Business Fax Number: | |
Mailing Address: | 100 N Beacon St, BOSTON |
State: | MA |
Postal Code: | 021341928 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 02/13/2013 |
NPI Last Update Date: | 05/20/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 18357 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |