Provider Demographics
NPI:1609174424
Name:HSU, CHING-I
Entity Type:Individual
Prefix:
First Name:CHING-I
Middle Name:
Last Name:HSU
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 1:1855 MICHAEL FARADAY DR
Mailing Address - Street 2:
Mailing Address - City:RESTON
Mailing Address - State:VA
Mailing Address - Zip Code:20190-5346
Mailing Address - Country:US
Mailing Address - Phone:646-479-9026
Mailing Address - Fax:
Practice Address - Street 1:14428 ALBEMARLE POINT PL STE 150B
Practice Address - Street 2:
Practice Address - City:CHANTILLY
Practice Address - State:VA
Practice Address - Zip Code:20151-1752
Practice Address - Country:US
Practice Address - Phone:703-712-7622
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-03-02
Last Update Date:2024-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCOT010001641225XP0200X
NY016061225XP0200X
VA0119008333225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics