Individual
JIMMY LIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT, OCS, CSCS
Contact information
Practice address
865 W FOOTHILL BLVD, ARCADIA, CA 91006-2035
(626) 422-2863
Mailing address
865 W FOOTHILL BLVD, ARCADIA, CA 91006-2035
(626) 422-2863
Taxonomy
Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
34405
CA
2251X0800X
Orthopedic Physical Therapist
Primary
33405
CA
Other
Enumeration date
01/14/2014
Last updated
01/14/2014
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