Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XH1200X | Occupational Therapist - Hand |
NPI | 1235681297 |
---|---|
Provider Name | Mr. Thomas Ting-Wei Liu |
First Address | Los Angeles, CA 90089-0080 |
Second Address | Van Nuys, CA 91406-3813 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/10/2016 |
Last Update Date | 04/03/2019 |