Provider Demographics
NPI:1497111595
Name:TENG, CHIAMEI
Entity Type:Individual
Prefix:
First Name:CHIAMEI
Middle Name:
Last Name:TENG
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5355 SOAPBERRY DR
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46268-1874
Mailing Address - Country:US
Mailing Address - Phone:317-873-3353
Mailing Address - Fax:317-733-2781
Practice Address - Street 1:5355 SOAPBERRY DR
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46268-1874
Practice Address - Country:US
Practice Address - Phone:317-873-3353
Practice Address - Fax:317-733-2781
Is Sole Proprietor?:No
Enumeration Date:2016-01-06
Last Update Date:2016-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN31004989A225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist