Individual
JISAN LIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
830 PARKER SQ, FLOWER MOUND, TX 75028-7429
(972) 410-5297
Mailing address
830 PARKER SQ, FLOWER MOUND, TX 75028-7429
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
225XP0200X
Pediatric Occupational Therapist
Primary
305452
TX
Other
Enumeration date
06/06/2019
Last updated
01/28/2022
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