Healthcare Provider Details

I. General information

NPI: 1538075874
Provider Name (Legal Business Name): LIANNE SKYE QUITZON PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/19/2026
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2800 EL CAMINO REAL
REDWOOD CITY CA
94061-4002
US

IV. Provider business mailing address

2001 TROUSDALE DR APT 103
BURLINGAME CA
94010-5334
US

V. Phone/Fax

Practice location:
  • Phone: 559-786-3506
  • Fax:
Mailing address:
  • Phone: 650-740-8485
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number298585
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: