Ms Charmaine Lim, OT | |
1950 S Mountain Ave, Ontario, CA 91762-6723 | |
(909) 983-0084 | |
Not Available |
Full Name | Ms Charmaine Lim |
---|---|
Gender | Female |
Speciality | Occupational Therapist |
Location | 1950 S Mountain Ave, Ontario, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447843214 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 21259 (California) | Primary |
Provider Name | Sand Coast Rehab Physical Therapy Inc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1639766603 PECOS PAC ID: 7315352911 Enrollment ID: O20210211003128 |
Mailing Address | Practice Location Address |
---|---|
Ms Charmaine Lim, OT 8200 Haven Ave Apt 11204, Rancho Cucamonga, CA 91730-6982 Ph: () - | Ms Charmaine Lim, OT 1950 S Mountain Ave, Ontario, CA 91762-6723 Ph: (909) 983-0084 |
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Kyanguu Nzuve, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1661 S Euclid Ave, Ontario, CA 91762 Phone: 909-984-6713 | |
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