Provider Demographics
NPI:1508082611
Name:CHOW, CORA SAU CHU (RPT)
Entity Type:Individual
Prefix:
First Name:CORA
Middle Name:SAU CHU
Last Name:CHOW
Suffix:
Gender:F
Credentials:RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:761 CLARADAY ST APT 17
Mailing Address - Street 2:
Mailing Address - City:GLENDORA
Mailing Address - State:CA
Mailing Address - Zip Code:91740-6506
Mailing Address - Country:US
Mailing Address - Phone:909-724-2239
Mailing Address - Fax:909-724-2216
Practice Address - Street 1:2295 S VINEYARD AVE STE A
Practice Address - Street 2:
Practice Address - City:ONTARIO
Practice Address - State:CA
Practice Address - Zip Code:91761-7926
Practice Address - Country:US
Practice Address - Phone:909-724-2239
Practice Address - Fax:909-724-2216
Is Sole Proprietor?:No
Enumeration Date:2007-04-17
Last Update Date:2021-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT16241225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist