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Individual
MR. JON JAMES LIAO
Active
Individual
MR. JON JAMES LIAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
11415
AZ
225100000X
Physical Therapist
Primary
42635
CA
225200000X
Physical Therapy Assistant
9408
CA
Other
Enumeration date
07/07/2015
Last updated
07/07/2015
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