Individual
MARVAN LIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
25117 SW PARKWAY AVE, SUITE D, WILSONVILLE, OR 97070-9697
(503) 570-3665
Mailing address
4929 155TH PL SW, EDMONDS, WA 98026-4859
(917) 213-3222
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0284111
NY
225100000X
Physical Therapist
PT 60232504
WA
Other
Enumeration date
03/30/2007
Last updated
04/19/2018
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