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Individual
THEODORE LIM
Active
Individual
THEODORE LIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
13264473
TX
225100000X
Physical Therapist
Primary
13264473
TX
Other
Enumeration date
12/13/2019
Last updated
01/30/2020
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