Provider Demographics
NPI:1578978417
Name:CHO, LALA G (DPT)
Entity Type:Individual
Prefix:
First Name:LALA
Middle Name:G
Last Name:CHO
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:5840 BANNEKER RD STE 230
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21044-3116
Mailing Address - Country:US
Mailing Address - Phone:410-840-0003
Mailing Address - Fax:410-884-0002
Practice Address - Street 1:5840 BANNEKER RD STE 230
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21044-3116
Practice Address - Country:US
Practice Address - Phone:301-421-1125
Practice Address - Fax:301-500-2175
Is Sole Proprietor?:No
Enumeration Date:2014-06-30
Last Update Date:2019-06-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MD25026225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist