Doctor Name: | MR. ANTHONY TAN LIM |
NPI Number: | 1033358353 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | 025289 |
Business Practice Address: | 50 Davenport Ave Apt. Bsmt New Rochelle, NY - 108053626 |
Business Phone Number: | 9143554864 |
Business Fax Number: | |
Mailing Address: | 50 Davenport Ave, Apt. Bsmt NEW ROCHELLE |
State: | NY |
Postal Code: | 108053626 |
Phone Number: | 9143554864 |
Fax Number: | |
NPI Enumeration Date: | 02/10/2009 |
NPI Last Update Date: | 02/10/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251P0200X |
License Number: | 025289 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |