Individual
JEREMIAH JACOB LIMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
4413 82ND ST STE 107, LUBBOCK, TX 79424-3366
(806) 319-7488
Mailing address
4413 82ND ST STE 107, LUBBOCK, TX 79424-3366
(806) 319-7488
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2176604
TX
Other
Enumeration date
08/17/2023
Last updated
08/17/2023
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