Individual
MISS LIANA KEALOHA KAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
27772
MD
225100000X
Physical Therapist
PT014295
GA
Other
Enumeration date
04/26/2018
Last updated
11/05/2019
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