Annie A Ly, MFTINTERN
Annie A Ly, MFTINTERN is a Rehabilitation Practitioner in Riverside, California. Practices as a sole proprietor. Registered with an NPI since 2008.
- In the registry since
- 2008
- Specialties on file
- 2
Practice location Address checks out
769 W Blaine St Ste 241Riverside, CA 92507-3970
Phone: (951) 358-5196
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Specialties & licences
| Rehabilitation Practitioner (primary) | Taxonomy 225400000X |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1568629368 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MFTINTERN |
| Sole proprietor | Yes |
| NPI enumerated | May 20, 2008 |
| Last updated in NPPES | February 13, 2014 |
| Mailing address | 769 W Blaine St, Riverside, CA 92507-3970 |
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