Individual provider · Type 1 NPI
Eun-Chong Kim, MPT
Pediatric Physical Therapist · Fullerton, CA
Practice location
2873 Muir Trail Dr
Fullerton, CA 92833-5517
Fax (562) 690-9746
Mailing address
2873 Muir Trail Drive
Fullerton, CA 92833
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Physical Therapist Primary | 2251P0200X | PT 25076 (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 1578879862
Eun-Chong Kim, MPT's National Provider Identifier is 1578879862, issued on Aug 24, 2010. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in Fullerton, CA. The record was last updated on Aug 24, 2010.