Provider Demographics
NPI:1760552368
Name:LIU, HUEY-ING (RPT)
Entity Type:Individual
Prefix:
First Name:HUEY-ING
Middle Name:
Last Name:LIU
Suffix:
Gender:F
Credentials:RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:730 ESTRELLA AVE
Mailing Address - Street 2:
Mailing Address - City:ARCADIA
Mailing Address - State:CA
Mailing Address - Zip Code:91007-8159
Mailing Address - Country:US
Mailing Address - Phone:626-285-7182
Mailing Address - Fax:
Practice Address - Street 1:117 E LIVE OAK AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:ARCADIA
Practice Address - State:CA
Practice Address - Zip Code:91006-5269
Practice Address - Country:US
Practice Address - Phone:626-446-8492
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA13775225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA13775OtherRPT LICENSE