Provider Demographics
NPI:1629602032
Name:LOO, CHOI-LING (PHYSICAL THERAPIST)
Entity Type:Individual
Prefix:
First Name:CHOI-LING
Middle Name:
Last Name:LOO
Suffix:
Gender:F
Credentials:PHYSICAL THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11216 WINDERMERE MDWS
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78759-4547
Mailing Address - Country:US
Mailing Address - Phone:512-791-1847
Mailing Address - Fax:
Practice Address - Street 1:11001 AUSTIN LN
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78758-1101
Practice Address - Country:US
Practice Address - Phone:888-520-7504
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-02-24
Last Update Date:2020-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist