Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2251N0400X | Physical Therapist - Neurology | 21155 | MD |
Y | 2251N0400X | Physical Therapist - Neurology | 2305209971 | VA |
NPI | 1659725554 |
---|---|
Provider Name | Dr. Willie Lim Ching |
First Address | Ashburn, VA 20147-4579 |
Second Address | Ashburn, VA 20147-4579 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/04/2016 |
Last Update Date | 01/12/2016 |