Individual
MS. VICKI LIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2403 SANTA FE DR, SUITE 7, PUEBLO, CO 81006-1497
(719) 240-4417
Mailing address
609 W PITKIN AVE, PUEBLO, CO 81004-1509
(719) 240-4417
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
4981
CO
Other
Enumeration date
01/25/2010
Last updated
01/25/2010
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