Provider Demographics
NPI:1689883969
Name:CHUANG, HEBER (PT)
Entity Type:Individual
Prefix:MR
First Name:HEBER
Middle Name:
Last Name:CHUANG
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 1:45 E COLORADO BLVD
Mailing Address - Street 2:
Mailing Address - City:ARCADIA
Mailing Address - State:CA
Mailing Address - Zip Code:91006-2815
Mailing Address - Country:US
Mailing Address - Phone:626-616-6046
Mailing Address - Fax:626-447-9213
Practice Address - Street 1:45 E COLORADO BLVD
Practice Address - Street 2:
Practice Address - City:ARCADIA
Practice Address - State:CA
Practice Address - Zip Code:91006-2815
Practice Address - Country:US
Practice Address - Phone:626-616-6046
Practice Address - Fax:626-447-9213
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT 25645225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist