IndividualActive
Abraham Kim, OT
NPI 1356076095 · Occupational Therapist · San Dimas, CA
Provider details
- NPI number
- 1356076095
- Entity type
- Individual
- Primary specialty
- Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- OT
- Sex
- Male
- Sole proprietor
- Yes
- License
- 23454 (CA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1155 Via Verde
San Dimas, CA 91773-4428
Phone: (909) 324-3698
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1806
Durham, NC 27702-1806
Registry dates
- Enumerated
- 2022-07-18
- Last updated
- 2022-07-18
- Certified
- 2022-07-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.