National Provider Identifier
Jeff Marwin Angelo Lim Pineda, PT
Jeff Marwin Angelo Lim Pineda, PT is listed in the NPPES registry with a primary specialty of Physical Therapist in Fredonia, NY and a listed phone number of (716) 680-1639.
Profile Overview
- NPI
- 1942970173
- Provider Type
- Individual
- Primary Specialty
- Physical Therapist
- Enumeration Date
- September 19, 2021
- Last Updated
- September 19, 2021
Practice Location
- 90 Brigham RD Apt C13
- Fredonia, NY 14063-1025
Phone: (716) 680-1639
Specialties
- Physical Therapist (225100000X)
Full Record
- NPI
- 1942970173
- Entity Type
- Individual
- Last Name
- Pineda
- First Name
- Jeff Marwin Angelo
- Middle Name
- Lim
- Credential
- PT
- Mailing Street Address
- 90 Brigham RD Apt C13
- Mailing City
- Fredonia
- Mailing State
- NY
- Mailing ZIP Code
- 14063-1025
- Mailing Country
- US
- Mailing Phone
- (716) 680-1639
- Practice Street Address
- 90 Brigham RD Apt C13
- Practice City
- Fredonia
- Practice State
- NY
- Practice ZIP Code
- 14063-1025
- Practice Country
- US
- Practice Phone
- (716) 680-1639
- Enumeration Date
- September 19, 2021
- Last Updated
- September 19, 2021
- Sex
- Male
- Sole Proprietor
- Yes
- Certification Date
- September 19, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapist (225100000X)