Provider Demographics
NPI:1780818203
Name:CHEW, JOSEPH STANLEY (PT)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:STANLEY
Last Name:CHEW
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 1:1333 W MAXZIM AVE
Mailing Address - Street 2:
Mailing Address - City:FULLERTON
Mailing Address - State:CA
Mailing Address - Zip Code:92833-4609
Mailing Address - Country:US
Mailing Address - Phone:818-437-1583
Mailing Address - Fax:
Practice Address - Street 1:1360 S ANAHEIM BLVD STE 150
Practice Address - Street 2:
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92805-6205
Practice Address - Country:US
Practice Address - Phone:714-776-1231
Practice Address - Fax:714-776-0802
Is Sole Proprietor?:No
Enumeration Date:2009-05-12
Last Update Date:2021-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA331442251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics