Provider Demographics
NPI:1538575337
Name:LIANG, XIN (PT, DPT)
Entity type:Individual
Prefix:MR
First Name:XIN
Middle Name:
Last Name:LIANG
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:MR
Other - First Name:PETER
Other - Middle Name:
Other - Last Name:LIANG
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:11022 WESTONHILL DR
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92126-1941
Mailing Address - Country:US
Mailing Address - Phone:858-610-2443
Mailing Address - Fax:
Practice Address - Street 1:11022 WESTONHILL DR
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92126-1941
Practice Address - Country:US
Practice Address - Phone:858-610-2443
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-01
Last Update Date:2014-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA41377225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist