Individual
CHARLEY LIU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
37624 SE FURY ST, SNOQUALMIE, WA 98065-9680
(425) 292-0223
Mailing address
550 OAKDALE AVE, GLENCOE, IL 60022-2043
(847) 501-0192
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
13873-24
WI
Other
Enumeration date
07/05/2017
Last updated
11/17/2018
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