Provider Demographics
NPI:1104383850
Name:HUI, VINCENT S (PT, DPT)
Entity Type:Individual
Prefix:DR
First Name:VINCENT
Middle Name:S
Last Name:HUI
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1625 E MAIN ST STE 104
Mailing Address - Street 2:
Mailing Address - City:EL CAJON
Mailing Address - State:CA
Mailing Address - Zip Code:92021-5223
Mailing Address - Country:US
Mailing Address - Phone:619-783-2160
Mailing Address - Fax:
Practice Address - Street 1:1625 E MAIN ST STE 104
Practice Address - Street 2:
Practice Address - City:EL CAJON
Practice Address - State:CA
Practice Address - Zip Code:92021-5223
Practice Address - Country:US
Practice Address - Phone:619-783-2160
Practice Address - Fax:619-783-2168
Is Sole Proprietor?:No
Enumeration Date:2019-02-28
Last Update Date:2019-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA296409225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist