Provider Demographics
NPI:1073666855
Name:CHEN, DAVID H (PT)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:H
Last Name:CHEN
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7817 OAKPORT ST
Mailing Address - Street 2:SUITE 140
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94621-2035
Mailing Address - Country:US
Mailing Address - Phone:510-638-0701
Mailing Address - Fax:
Practice Address - Street 1:7817 OAKPORT ST
Practice Address - Street 2:SUITE 140
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94621-2035
Practice Address - Country:US
Practice Address - Phone:510-638-0701
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-18
Last Update Date:2008-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT33378225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist