Basic Information
| Provider Information | |||||||||
| NPI: | 1801042478 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | LIM | ||||||||
| FirstName: | SUET | ||||||||
| MiddleName: | Y. | ||||||||
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| Credential: | OTR | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1259 ROUTE 46 | ||||||||
| Address2: | BUILDING #3 | ||||||||
| City: | PARSIPPANY | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 070544909 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9733344321 | ||||||||
| FaxNumber: | 9733341095 | ||||||||
| Practice Location | |||||||||
| Address1: | 405 NORTHFIELD AVE | ||||||||
| Address2: | SUITE #LL1 | ||||||||
| City: | WEST ORANGE | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 070523026 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9737311950 | ||||||||
| FaxNumber: | 9737311242 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/14/2008 | ||||||||
| LastUpdateDate: | 06/22/2010 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225XH1200X | 46TR00472400 | NJ | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Hand |
No ID Information.