Provider Demographics
NPI:1174854160
Name:CHAO, SIO NGA (OTR/L, CPAM)
Entity Type:Individual
Prefix:
First Name:SIO NGA
Middle Name:
Last Name:CHAO
Suffix:
Gender:F
Credentials:OTR/L, CPAM
Other - Prefix:
Other - First Name:CINDY
Other - Middle Name:
Other - Last Name:CHAO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:10124 VISTA DR
Mailing Address - Street 2:
Mailing Address - City:CUPERTINO
Mailing Address - State:CA
Mailing Address - Zip Code:95014-2223
Mailing Address - Country:US
Mailing Address - Phone:408-873-9967
Mailing Address - Fax:
Practice Address - Street 1:10124 VISTA DR
Practice Address - Street 2:
Practice Address - City:CUPERTINO
Practice Address - State:CA
Practice Address - Zip Code:95014-2223
Practice Address - Country:US
Practice Address - Phone:408-873-9967
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-15
Last Update Date:2010-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA6720225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist