Individual
MR. WYNGARD LIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
303 N HURSTBOURNE PKWY STE 200, LOUISVILLE, KY 40222-5158
(502) 412-5847
Mailing address
12303 TURNBERRY TRCE, SELLERSBURG, IN 47172-8624
(847) 420-0771
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05007405A
IN
Other
Enumeration date
10/22/2012
Last updated
10/22/2012
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