Provider Demographics
NPI:1861446072
Name:OEI, LIESBETH STEPHANIE (DPT)
Entity Type:Individual
Prefix:
First Name:LIESBETH
Middle Name:STEPHANIE
Last Name:OEI
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:LISA
Other - Middle Name:
Other - Last Name:OEI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DPT
Mailing Address - Street 1:450 SUTTER ST
Mailing Address - Street 2:SUITE 2640
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94108-4206
Mailing Address - Country:US
Mailing Address - Phone:415-806-6338
Mailing Address - Fax:415-788-5970
Practice Address - Street 1:450 SUTTER ST
Practice Address - Street 2:SUITE 2640
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94108-4206
Practice Address - Country:US
Practice Address - Phone:415-806-6338
Practice Address - Fax:415-788-5970
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA29894225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist