Individual
JAMES LIAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1109 W MYRTLE ST STE 220, BOISE, ID 83702-6975
(208) 385-3720
Mailing address
1298 GLEN HAVEN DR, SAN JOSE, CA 95129-4103
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT5851
ID
Other
Enumeration date
06/15/2018
Last updated
06/15/2018
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