Provider Demographics
NPI:1821121070
Name:JEW, CYNTHIA LOUISE (BS, BS, RPT)
Entity Type:Individual
Prefix:MRS
First Name:CYNTHIA
Middle Name:LOUISE
Last Name:JEW
Suffix:
Gender:F
Credentials:BS, BS, RPT
Other - Prefix:MISS
Other - First Name:CYNTHIA
Other - Middle Name:LOUISE
Other - Last Name:ONG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BS,BS,RPT
Mailing Address - Street 1:2747-THIRTY-SEVENTH AVENUE
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94116
Mailing Address - Country:US
Mailing Address - Phone:415-759-0843
Mailing Address - Fax:
Practice Address - Street 1:728 PACIFIC AVENUE
Practice Address - Street 2:SUITE 301
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94133
Practice Address - Country:US
Practice Address - Phone:415-433-3318
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT 10958225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist