Individual
ANTHONY LI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
500 W GLENOAKS BLVD, GLENDALE, CA 91202-2813
(747) 272-0027
Mailing address
636 E LEE PL, AZUSA, CA 91702-3812
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
195812
—
CA
Enumeration date
05/09/2022
Last updated
05/09/2022
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