IndividualActive
Mi Kim
NPI 1679244149 · Physical Rehabilitation Occupational Therapist · Leonardtown, MD
Provider details
- NPI number
- 1679244149
- Entity type
- Individual
- Primary specialty
- Physical Rehabilitation Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 09361 (MD)
Practice location
44980 Hamptons Blvd Apt 213
Leonardtown, MD 20650-4752
Phone: (703) 678-9161
Mailing address
44980 Hamptons Blvd Apt 213
Leonardtown, MD 20650-4752
Registry dates
- Enumerated
- 2021-09-24
- Last updated
- 2021-09-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.