| Doehee Kim, PT | |
|
97 Indian Rd, Wayne, NJ 07470-4949 | |
| (201) 290-2655 | |
| Not Available |
| Full Name | Doehee Kim |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 97 Indian Rd, Wayne, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528202348 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 40QA00685400 (New Jersey) | Primary |
| Provider Name | Ultra Comprehensive Physical Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1295271310 PECOS PAC ID: 9537446570 Enrollment ID: O20170501001410 |
| Mailing Address | Practice Location Address |
|---|---|
| Doehee Kim, PT 97 Indian Rd, Wayne, NJ 07470-4949 Ph: (201) 290-2655 | Doehee Kim, PT 97 Indian Rd, Wayne, NJ 07470-4949 Ph: (201) 290-2655 |
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