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Individual
IAN KWAN LIM
Active
Individual
IAN KWAN LIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
023875
NY
225100000X
Physical Therapist
Primary
023875
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
023875
LICENSE
NY
Enumeration date
03/11/2008
Last updated
02/26/2020
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