| Doctor Name: | LOANN KIM DO |
| NPI Number: | 1134271299 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | OTR |
| License Number: | 5516 |
| Business Practice Address: | 579 Auto Center Dr Watsonville, CA - 950763727 |
| Business Phone Number: | 8317229680 |
| Business Fax Number: | 8317249311 |
| Mailing Address: | 103 Jennifer Ct, APTOS |
| State: | CA |
| Postal Code: | 950032814 |
| Phone Number: | 8316620979 |
| Fax Number: | |
| NPI Enumeration Date: | 01/17/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225XN1300X |
| License Number: | 5516 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Occupational Therapist |
| Taxonomy Specialization: | Neurorehabilitation |
| Taxonomy Definition: | |