Healthcare Provider Details
I. General information
NPI: 1205855434
Provider Name (Legal Business Name): NANCY BIH-FEI TSAI
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/19/2006
Last Update Date: 06/26/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
525 S MYRTLE AVE STE 108
MONROVIA CA
91016-5199
US
IV. Provider business mailing address
525 S MYRTLE AVE STE 108
MONROVIA CA
91016-5199
US
V. Phone/Fax
- Phone: 626-627-6058
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QP2000X |
| Taxonomy | Physical Therapy Clinic/Center |
| License Number | PT24913 |
| License Number State | CA |
VIII. Authorized Official
Name:
NANCY
TSAI
Title or Position: OWNER
Credential: DPT
Phone: 626-627-6058