Provider Demographics
NPI:1689098154
Name:HSU, LYNN CALEY
Entity Type:Individual
Prefix:
First Name:LYNN
Middle Name:CALEY
Last Name:HSU
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:LYNN
Other - Middle Name:ELIZABETH
Other - Last Name:CALEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:362 MERIDIAN AVE
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95126-5101
Mailing Address - Country:US
Mailing Address - Phone:408-286-6939
Mailing Address - Fax:
Practice Address - Street 1:730 EMPEY WAY
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95128-4705
Practice Address - Country:US
Practice Address - Phone:408-275-1500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-02-04
Last Update Date:2014-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA15538225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist