Healthcare Provider Details
I. General information
NPI: 1952378523
Provider Name (Legal Business Name): MI LIM WEE MPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 03/02/2006
Last Update Date: 05/27/2025
Certification Date: 05/27/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
721 DRESHER RD SUITE 2100
HORSHAM PA
19044-2220
US
IV. Provider business mailing address
997 WARFIELD LN
HUNTINGDON VALLEY PA
19006-3337
US
V. Phone/Fax
- Phone: 215-659-2955
- Fax: 215-659-0123
- Phone: 215-870-1902
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 174400000X |
| Taxonomy | Specialist |
| License Number | PT015819 |
| License Number State | PA |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225100000X |
| Taxonomy | Physical Therapist |
| License Number | PT015819 |
| License Number State | PA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: