Provider Demographics
NPI:1780864215
Name:SOO HOO, MING (PT)
Entity Type:Individual
Prefix:MRS
First Name:MING
Middle Name:
Last Name:SOO HOO
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14743 MAINE COVE TER
Mailing Address - Street 2:
Mailing Address - City:NORTH POTOMAC
Mailing Address - State:MD
Mailing Address - Zip Code:20878-4216
Mailing Address - Country:US
Mailing Address - Phone:301-294-0202
Mailing Address - Fax:301-294-0202
Practice Address - Street 1:14743 MAINE COVE TER
Practice Address - Street 2:
Practice Address - City:NORTH POTOMAC
Practice Address - State:MD
Practice Address - Zip Code:20878-4216
Practice Address - Country:US
Practice Address - Phone:301-294-0202
Practice Address - Fax:301-294-0202
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-13
Last Update Date:2007-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD14950225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist