Provider Demographics
NPI:1659380509
Name:CHU, DONALD ALLEN (PHD, PT)
Entity Type:Individual
Prefix:PROF
First Name:DONALD
Middle Name:ALLEN
Last Name:CHU
Suffix:
Gender:M
Credentials:PHD, PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6483 SIERRA LN
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:CA
Mailing Address - Zip Code:94568-2797
Mailing Address - Country:US
Mailing Address - Phone:925-225-9840
Mailing Address - Fax:925-225-1537
Practice Address - Street 1:6483 SIERRA LN
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:CA
Practice Address - Zip Code:94568-2797
Practice Address - Country:US
Practice Address - Phone:925-225-9840
Practice Address - Fax:925-225-1537
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-07
Last Update Date:2016-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT 591225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ06453ZMedicare PIN