Provider Demographics
NPI:1356645527
Name:CHIU-BEGEMANN, CHUNG WEI (MPT)
Entity Type:Individual
Prefix:MRS
First Name:CHUNG
Middle Name:WEI
Last Name:CHIU-BEGEMANN
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:MS
Other - First Name:CHUNG
Other - Middle Name:WEI
Other - Last Name:CHIU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MPT
Mailing Address - Street 1:2663 VALLEY ROAD
Mailing Address - Street 2:
Mailing Address - City:WILDWOOD
Mailing Address - State:MO
Mailing Address - Zip Code:63005
Mailing Address - Country:US
Mailing Address - Phone:314-956-0536
Mailing Address - Fax:
Practice Address - Street 1:2663 VALLEY ROAD
Practice Address - Street 2:
Practice Address - City:WILDWOOD
Practice Address - State:MO
Practice Address - Zip Code:63005
Practice Address - Country:US
Practice Address - Phone:314-956-0536
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-03
Last Update Date:2019-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI11335-024225100000X
MO2014019056225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist