Organization
LIM PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEREMY LIM DPT (OWNER)
(206) 890-3847
Entity
Organization
Contact information
Practice address
1585 ULUPII ST, KAILUA, HI 96734-4444
(206) 890-3847
Mailing address
1585 ULUPII ST, KAILUA, HI 96734-4444
(206) 890-3847
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3585
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1881914117
INDIVIDUAL NPI
—
Enumeration date
03/12/2014
Last updated
03/12/2014
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