Provider Demographics
NPI:1225109796
Name:LE, CHINH N (DPT)
Entity Type:Individual
Prefix:DR
First Name:CHINH
Middle Name:N
Last Name:LE
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:3202 TOWER OAKS BLVD
Mailing Address - Street 2:SUITE 280
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20852-4219
Mailing Address - Country:US
Mailing Address - Phone:301-231-7800
Mailing Address - Fax:301-231-7801
Practice Address - Street 1:3202 TOWER OAKS BLVD
Practice Address - Street 2:SUITE 280
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20852-4219
Practice Address - Country:US
Practice Address - Phone:301-231-7800
Practice Address - Fax:301-231-7801
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-13
Last Update Date:2010-10-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MD20996225100000X
DC870427225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD418171900Medicaid
MD173697ZF3Medicare PIN