Provider Demographics
NPI:1083414163
Name:VO, THUY LINH LIAN
Entity type:Individual
Prefix:
First Name:THUY LINH
Middle Name:LIAN
Last Name:VO
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1085 MURRIETA BLVD APT 316
Mailing Address - Street 2:
Mailing Address - City:LIVERMORE
Mailing Address - State:CA
Mailing Address - Zip Code:94550-4120
Mailing Address - Country:US
Mailing Address - Phone:408-409-0636
Mailing Address - Fax:
Practice Address - Street 1:1085 MURRIETA BLVD APT 316
Practice Address - Street 2:
Practice Address - City:LIVERMORE
Practice Address - State:CA
Practice Address - Zip Code:94550-4120
Practice Address - Country:US
Practice Address - Phone:408-409-0636
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-17
Last Update Date:2025-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA307749225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist