MEDICARE: DR. SHIHHUI LIOU 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
1	225100000X	Physical Therapist	40 QA00590100	NJ
2	225100000X	Physical Therapist	PT21501	CA

General Provider Information

NPI Number	:	1639569783
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SHIHHUI LIOU DPT

Provider Business Mailing Address
First Line	:	334 W OCEAN HEIGHTS AVE
Second Line	:	#115
City	:	LINWOOD
State	:	NJ
Zip	:	08221-1464
Country	:	US
Telephone Number	:	609-214-2433
Fax Number	:

Provider Business Practice Location Address
First Line	:	334 W OCEAN HEIGHTS AVE
Second Line	:	#115
City	:	LINWOOD
State	:	NJ
Zip	:	08221-1464
Country	:	US
Telephone Number	:	609-214-2433
Fax Number	:

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

Provider Enumeration Date	:	01/28/2015
Last Update Date	:	01/28/2015

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Directions to “ DR. SHIHHUI LIOU DPT” Practice Location

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