Individual
MS. LILY TAING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3409 BARTLETT AVE, ROSEMEAD, CA 91770-2733
(626) 202-5684
Mailing address
3409 BARTLETT AVE, ROSEMEAD, CA 91770-2733
(626) 202-5684
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5878
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5878
—
CA
Enumeration date
08/11/2011
Last updated
08/11/2011
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