Tae Joen Lim, MASSAGE THERAPIST
NPI #1114527025 in Stony Brook, New York
Provider Information
- NPI Number
- 1114527025
- Entity Type
- Individual
- Name
- Tae Joen Lim, MASSAGE THERAPIST
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Massage Therapist
- Credential
- MASSAGE THERAPIST
- Enumeration Date
- Oct 29, 2020
- Last Updated
- Oct 29, 2020
Practice Location
- Address
- 215 HALLOCK RD STE 6A
- City
- Stony Brook
- State
- New York
- ZIP Code
- 11790-3077
- Phone
- (917) 563-1824
Specialties & Taxonomy Codes
| Specialty |
|---|
| Massage Therapist |
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