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Individual

MARICOR G LIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
900 ANSON ST, SALEM, IN 47167-1982
(812) 883-4681
(812) 883-8113
Mailing address
256 CAROL LANE, SCOTTSBURG, IN 47170
(812) 752-1324
(812) 752-1324

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05008496A
IN

Other

Enumeration date
06/29/2007
Last updated
07/08/2007
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