Yvonne Desarea Liebig PT

NPI 1215224258 - Physical Therapist - 225100000X

NPI Details
NPI 1215224258
Gender Female
Enumeration Date 06/28/2011
Last Updated 06/28/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
21 TAMAL VISTA BLVD
SUITE 175
CORTE MADERA CA, 94925-1130, US
Phone (415) 924-5700
Fax (415) 924-5723
Business Location
21 TAMAL VISTA BLVD
SUITE 175
CORTE MADERA CA, 94925-1130, US
Phone (415) 924-5700
Fax (415) 924-5723
Toxanomy
Taxonomy Code 225100000X
License State California
License Number 37885
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According to our database, Yvonne Desarea Liebig PT NPI is 1215224258, taxonomy code is 225100000X and license number is 37885, license state is located at California. Yvonne Desarea Liebig PT physically located at 21 Tamal Vista Blvd, Corte Madera CA, 94925-1130. NPI Number Yvonne Desarea Liebig PT has the Individual type.

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1215224258 NPI number is provided on an as is basis without warranty of any kind. 1215224258 is maintained by the National Plan & Provider Enumeration System. The contents of Yvonne Desarea Liebig PT are for informational purposes only.