Individual provider · Type 1 NPI

Mark Joong-Pyoung Kim, DPT

Pediatric Physical Therapist · Pasadena, CA

NPI number 1083136279 Active

Practice location

200 E Del Mar Blvd Ste 112
Pasadena, CA 91105-2552

Mailing address

1805 Meridian Ave Unit 4
South Pasadena, CA 91030-5502

Specialties and licenses

TaxonomyCodeLicense
Pediatric Physical Therapist Primary 2251P0200XPT292426 (CA)

Pediatric Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical th…

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About NPI 1083136279

Mark Joong-Pyoung Kim, DPT's National Provider Identifier is 1083136279, issued on Jul 10, 2017. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in Pasadena, CA. The record was last updated on Jul 10, 2017.