Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251G0304X | Physical Therapist - Geriatrics | 27546 | CA |
NPI | 1043638901 |
---|---|
Provider Name | Yi Tseng |
First Address | Campbell, CA 95008-3743 |
Second Address | Campbell, CA 95008-3743 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/03/2014 |
Last Update Date | 11/02/2022 |