Individual
BO LIU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3225 N 75TH ST STE 115, SCOTTSDALE, AZ 85251-6928
(480) 429-8881
Mailing address
PO BOX 42121, MESA, AZ 85274-2121
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-21514
AZ
Other
Enumeration date
10/27/2017
Last updated
10/27/2017
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