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NPI Code Detail

MEDICARE: YAJING LIU DPT

MEDICARE: YAJING 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
1225100000XPhysical TherapistPT291817CA

General Provider Information

NPI Number : 1124560008
Entity Type Code : Individual
Provider Name (Legal Business Name) : YAJING LIU DPT
Provider Business Mailing Address
First Line : 166 EVANS AVE
Second Line :
City : PACIFIC GROVE
State : CA
Zip : 93950-3051
Country : US
Telephone Number : 412-889-8641
Fax Number : 831-375-1520
Provider Business Practice Location Address
First Line : 21 LOWER RAGSDALE DR
Second Line :
City : MONTEREY
State : CA
Zip : 93940-5827
Country : US
Telephone Number : 831-264-6040
Fax Number : 831-375-8007
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/09/2016
Last Update Date : 08/09/2021

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