IndividualActive
Michael Kim, OTR/L
NPI 1730294745 · Hand Occupational Therapist · Fayetteville, NC
Provider details
- NPI number
- 1730294745
- Entity type
- Individual
- Primary specialty
- Hand Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- OTR/L
- Sex
- Male
- Sole proprietor
- No
- License
- 31004271A (IN)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1991 Fordham Dr Ste 102
Fayetteville, NC 28304-3774
Phone: (910) 484-4653
Fax: (910) 483-9256
Approximate (ZIP-level) locationGet directions
Mailing address
1991 Fordham Dr Ste 102
Fayetteville, NC 28304-3774
Registry dates
- Enumerated
- 2006-08-20
- Last updated
- 2021-11-03
- Certified
- 2021-11-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.