Provider Demographics
NPI:1700310984
Name:MANASHI C-LIM THERAPY SERVICES, PLLC.
Entity type:Organization
Organization Name:MANASHI C-LIM THERAPY SERVICES, PLLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MANASHI
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAKRABARTTY-LIM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-302-6005
Mailing Address - Street 1:2168 S LAKE DR
Mailing Address - Street 2:
Mailing Address - City:ASHEBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27205-1053
Mailing Address - Country:US
Mailing Address - Phone:336-302-6005
Mailing Address - Fax:336-521-4027
Practice Address - Street 1:2168 S LAKE DR
Practice Address - Street 2:
Practice Address - City:ASHEBORO
Practice Address - State:NC
Practice Address - Zip Code:27205-1053
Practice Address - Country:US
Practice Address - Phone:336-302-6005
Practice Address - Fax:336-521-4027
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-14
Last Update Date:2017-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3572225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty