Provider Demographics
NPI:1437173234
Name:CHU, ROSITA SIA (PT)
Entity Type:Individual
Prefix:MRS
First Name:ROSITA
Middle Name:SIA
Last Name:CHU
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:15837 LOS ALTOS DR
Mailing Address - Street 2:
Mailing Address - City:HACIENDA HEIGHTS
Mailing Address - State:CA
Mailing Address - Zip Code:91745-5311
Mailing Address - Country:US
Mailing Address - Phone:626-968-3956
Mailing Address - Fax:626-961-3007
Practice Address - Street 1:15837 LOS ALTOS DR
Practice Address - Street 2:
Practice Address - City:HACIENDA HEIGHTS
Practice Address - State:CA
Practice Address - Zip Code:91745-5311
Practice Address - Country:US
Practice Address - Phone:626-968-3956
Practice Address - Fax:626-961-3007
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT 11947225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist