Provider Demographics
NPI:1659725554
Name:CHING, WILLIE LIM (PT, DPT, NCS)
Entity Type:Individual
Prefix:DR
First Name:WILLIE
Middle Name:LIM
Last Name:CHING
Suffix:
Gender:M
Credentials:PT, DPT, NCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:43340 CLAYBROOKE CIR
Mailing Address - Street 2:
Mailing Address - City:ASHBURN
Mailing Address - State:VA
Mailing Address - Zip Code:20147-4579
Mailing Address - Country:US
Mailing Address - Phone:703-726-0157
Mailing Address - Fax:
Practice Address - Street 1:43340 CLAYBROOKE CIR
Practice Address - Street 2:
Practice Address - City:ASHBURN
Practice Address - State:VA
Practice Address - Zip Code:20147-4579
Practice Address - Country:US
Practice Address - Phone:703-726-0157
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-17
Last Update Date:2016-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA23052099712251N0400X
MD211552251N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251N0400XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistNeurology