Search › New Jersey › 225100000X
Main Kim, DPT
NPI 1417438375 · on the registry since 2018
Practice
- Address
- 700 Palisadium Dr
Cliffside Park, NJ 07010 - Phone
- (201) 917-3494
- Organisation at this address
- Holistic Studio White Lotus
Lifespan Physical Therapy, Llc
Energy Zone Wellness Center LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Also registered as
- 225100000X
- Licence states on file
- NJ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-09-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey