Individual
DR. ELISHA LI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1000 E BROAD ST, RICHMOND, VA 23219-1930
(804) 828-2467
Mailing address
13 BAKER PARK AVE, PERU, IL 61354-1582
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305216435
VA
2251P0200X
Pediatric Physical Therapist
2305216435
VA
Other
Enumeration date
07/09/2024
Last updated
07/09/2024
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