MR. Kenneth Tan Lim

NPI #1205303310 in Granada Hills, California

Provider Information

NPI Number: 1205303310
Entity Type: Individual
Name: MR. Kenneth Tan Lim
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Enumeration Date: Oct 26, 2018
Last Updated: Oct 26, 2018

Practice Location

Address: 10442 GAYNOR AVE
City: Granada Hills
State: California
ZIP Code: 91344-7024
Phone: (818) 913-8820

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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