Provider Demographics
NPI:1174600803
Name:CHIOU, NING (PT)
Entity type:Individual
Prefix:
First Name:NING
Middle Name:
Last Name:CHIOU
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 1:607 HIGHWAY 466
Mailing Address - Street 2:A
Mailing Address - City:LADY LAKE
Mailing Address - State:FL
Mailing Address - Zip Code:32159-3792
Mailing Address - Country:US
Mailing Address - Phone:352-787-0669
Mailing Address - Fax:352-360-1727
Practice Address - Street 1:607 HIGHWAY 466
Practice Address - Street 2:A
Practice Address - City:LADY LAKE
Practice Address - State:FL
Practice Address - Zip Code:32159-3792
Practice Address - Country:US
Practice Address - Phone:352-787-0669
Practice Address - Fax:352-360-1727
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT 7060225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLY038CZMedicare ID - Type UnspecifiedMEDICARE PROVIDER