Provider Demographics
NPI:1629474986
Name:KUO, TZU-HAO (PT, MS, DPT, LAC)
Entity Type:Individual
Prefix:
First Name:TZU-HAO
Middle Name:
Last Name:KUO
Suffix:
Gender:M
Credentials:PT, MS, DPT, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4237 27TH ST APT 6D
Mailing Address - Street 2:
Mailing Address - City:LONG ISLAND CITY
Mailing Address - State:NY
Mailing Address - Zip Code:11101-4142
Mailing Address - Country:US
Mailing Address - Phone:347-894-1527
Mailing Address - Fax:
Practice Address - Street 1:4160 MAIN ST STE 209
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11355-3899
Practice Address - Country:US
Practice Address - Phone:917-362-2018
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-14
Last Update Date:2020-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty