MEDICARE: LEAHO LIAO

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	225100000X	Physical Therapist	25893	FL
2	225100000X	Physical Therapist	030773-1	NY
3	225100000X	Physical Therapist	070016112	IL

General Provider Information

NPI Number	:	1255515680
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LEAHO LIAO

Provider Business Mailing Address
First Line	:	7350 SANDLAKE COMMONS BLVD STE 1105
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32819-8031
Country	:	US
Telephone Number	:	407-351-8580
Fax Number	:

Provider Business Practice Location Address
First Line	:	7350 SANDLAKE COMMONS BLVD STE 1105
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32819-8031
Country	:	US
Telephone Number	:	407-351-8580
Fax Number	:

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

Provider Enumeration Date	:	12/20/2007
Last Update Date	:	03/09/2026

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Directions to “ LEAHO LIAO ” Practice Location

Language	Start Address	Practice Location

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