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Individual

MR. ERWIN LIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
8633 32ND AVE, KENOSHA, WI 53142-5187
(262) 694-8300
Mailing address
8902 ARBOR HILL DR, RACINE, WI 53406-2489
(262) 886-2470

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4083-024
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
40182600
WI
Enumeration date
05/09/2007
Last updated
07/08/2007
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