MEDICARE: EDWARD LIU DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2251H1300X	Human Factors Physical Therapist	30771	FL
2	2251N0400X	Neurology Physical Therapist	30771	FL
3	2251P0200X	Pediatric Physical Therapist	30771	FL
4	2251S0007X	Sports Physical Therapist	30771	FL
5	2251X0800X	Orthopedic Physical Therapist	30771	FL
6	2251E1200X	Ergonomics Physical Therapist	30771	FL
7	225100000X	Physical Therapist	30771	FL
8	2251C2600X	Cardiopulmonary Physical Therapist	30771	FL
9	2251E1300X	Clinical Electrophysiology Physical Therapist	30771	FL
10	2251G0304X	Geriatric Physical Therapist	30771	FL
11	2251H1200X	Hand Physical Therapist	30771	FL

General Provider Information

NPI Number	:	1609249861
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EDWARD LIU DPT

Provider Business Mailing Address
First Line	:	8704 HUNTFIELD ST
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33635-1566
Country	:	US
Telephone Number	:	813-454-1986
Fax Number	:

Provider Business Practice Location Address
First Line	:	1220 S DALE MABRY HWY STE 101
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33629-5019
Country	:	US
Telephone Number	:	813-253-3092
Fax Number	:	813-259-9516

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/09/2015
Last Update Date	:	07/21/2022

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Directions to “ EDWARD LIU DPT” Practice Location

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