Healthcare Provider Details

I. General information

NPI: 1760552368
Provider Name (Legal Business Name): HUEY-ING LIU RPT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/09/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

117 E LIVE OAK AVE SUITE 101
ARCADIA CA
91006-5269
US

IV. Provider business mailing address

730 ESTRELLA AVE
ARCADIA CA
91007-8159
US

V. Phone/Fax

Practice location:
  • Phone: 626-446-8492
  • Fax:
Mailing address:
  • Phone: 626-285-7182
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number13775
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: