Organization
OC PHYSICAL THERAPY CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHIAO-LAN LI MPT (CEO)
(949) 333-2224
Entity
Organization
Contact information
Practice address
18102 SKY PARK CIR STE D, IRVINE, CA 92614-6531
(949) 333-2224
(949) 333-2225
Mailing address
18102 SKY PARK CIR STE D, IRVINE, CA 92614-6531
(949) 333-2224
(949) 333-2225
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
2251X0800X
Orthopedic Physical Therapist
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
11/01/2024
Last updated
11/01/2024
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