Provider Demographics
NPI:1487825436
Name:LIBERATO CHU PA
Entity Type:Organization
Organization Name:LIBERATO CHU PA
Other - Org Name:LVC THERAPY SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:LIBERATO
Authorized Official - Middle Name:V
Authorized Official - Last Name:CHU
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:727-862-7613
Mailing Address - Street 1:10730 US HIGHWAY 19
Mailing Address - Street 2:SUITE 1
Mailing Address - City:PORT RICHEY
Mailing Address - State:FL
Mailing Address - Zip Code:34668-2885
Mailing Address - Country:US
Mailing Address - Phone:727-862-7613
Mailing Address - Fax:727-862-6317
Practice Address - Street 1:10730 US HIGHWAY 19
Practice Address - Street 2:SUITE 1
Practice Address - City:PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34668-2885
Practice Address - Country:US
Practice Address - Phone:727-862-7613
Practice Address - Fax:727-862-6317
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-18
Last Update Date:2008-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy