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Individual

MR. CHUNG KAY LI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.A.; RPT

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT8718
CA
363AM0700X
Medical Physician Assistant
PA15269
CA

Other

Enumeration date
02/17/2011
Last updated
12/18/2018
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