Individual
MRS. LYDIA GRACE LI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7811 MONTROSE RD STE 350, POTOMAC, MD 20854-3359
(301) 417-8283
(301) 417-8306
Mailing address
13006 FREELAND RD, ROCKVILLE, MD 20853-3031
(347) 622-1451
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
039664
NY
225100000X
Physical Therapist
28386
MD
2251S0007X
Sports Physical Therapist
28386
MD
2251X0800X
Orthopedic Physical Therapist
Primary
28386
MD
Other
Enumeration date
12/14/2015
Last updated
09/08/2023
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