Individual
BACH TRUNG LY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
18601 CECELIA WAY, CERRITOS, CA 90703-6136
(562) 818-3872
Mailing address
18601 CECELIA WAY, CERRITOS, CA 90703-6136
(562) 818-3872
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 23439
CA
Other
Enumeration date
09/15/2015
Last updated
09/15/2015
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