Provider Demographics
NPI:1407939994
Name:LIU, PATRICK C (DC)
Entity type:Individual
Prefix:DR
First Name:PATRICK
Middle Name:C
Last Name:LIU
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:4141 N. HENDERSON RD.
Mailing Address - Street 2:SUITE 1215
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22203-2486
Mailing Address - Country:US
Mailing Address - Phone:703-416-0460
Mailing Address - Fax:703-416-0502
Practice Address - Street 1:2189 CRYSTAL PLAZA ARC
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22202-4602
Practice Address - Country:US
Practice Address - Phone:703-416-0460
Practice Address - Fax:703-416-0502
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-20
Last Update Date:2008-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104555979111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor