Provider Demographics
NPI:1740390533
Name:CAO, MICHAEL DUY (PT)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:DUY
Last Name:CAO
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:10900 WARNER AVE
Mailing Address - Street 2:SUITE 117
Mailing Address - City:FOUNTAIN VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92708-3846
Mailing Address - Country:US
Mailing Address - Phone:714-594-3972
Mailing Address - Fax:714-582-7071
Practice Address - Street 1:10900 WARNER AVE
Practice Address - Street 2:SUITE 117
Practice Address - City:FOUNTAIN VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92708-3846
Practice Address - Country:US
Practice Address - Phone:714-594-3972
Practice Address - Fax:714-582-7071
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2023-05-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CA28743225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist