Provider Demographics
NPI:1083926265
Name:KUO, TING-TING (PT,DPT,WCS,CLT)
Entity Type:Individual
Prefix:
First Name:TING-TING
Middle Name:
Last Name:KUO
Suffix:
Gender:F
Credentials:PT,DPT,WCS,CLT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:350 W 42ND ST
Mailing Address - Street 2:APT 38F
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10036-6945
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:350 W 42ND ST
Practice Address - Street 2:APT 38F
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10036-6945
Practice Address - Country:US
Practice Address - Phone:917-796-3256
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-05
Last Update Date:2010-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY018136225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist