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Organization
PHYXUP
Active
Organization
PHYXUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANGWON LIM PT (PHYSICAL THERAPIST)
(617) 501-5342
Entity
Organization
Contact information
Practice address
95 W SQUANTUM ST APT 111, NORTH QUINCY, MA 02171-2106
(617) 501-5342
Mailing address
95 W SQUANTUM ST APT 111, NORTH QUINCY, MA 02171-2106
(617) 501-5342
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
04/19/2020
Last updated
04/19/2020
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