Provider Demographics
NPI:1619212628
Name:HUANG, TSENG TIEN (PT)
Entity Type:Individual
Prefix:
First Name:TSENG TIEN
Middle Name:
Last Name:HUANG
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2612 LAURISTON DR
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73072-2271
Mailing Address - Country:US
Mailing Address - Phone:352-328-1553
Mailing Address - Fax:
Practice Address - Street 1:2612 LAURISTON DR
Practice Address - Street 2:
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73072-2271
Practice Address - Country:US
Practice Address - Phone:352-328-1553
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-12-02
Last Update Date:2012-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK4553225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist