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NPI Code Detail

MEDICARE: ELDER LIANG DPT

MEDICARE: ELDER LIANG 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 Therapist

General Provider Information

NPI Number : 1376196634
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELDER LIANG DPT
Provider Business Mailing Address
First Line : 401 N BUFFALO DR STE 120
Second Line :
City : LAS VEGAS
State : NV
Zip : 89145-0397
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3820 S JONES BLVD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89103-2228
Country : US
Telephone Number : 702-818-5000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/16/2019
Last Update Date : 11/30/2021

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Directions to “ ELDER LIANG DPT” Practice Location

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