Jiseon Kim, PT

NPI #1104364538 in Ocala, Florida

Provider Information

NPI Number: 1104364538
Entity Type: Individual
Name: Jiseon Kim, PT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Feb 6, 2017
Last Updated: Feb 6, 2017

Practice Location

Address: 1202 SW 17TH ST
Address 2: BOX 209-229
City: Ocala
State: Florida
ZIP Code: 34471-1231
Phone: (352) 639-3378

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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