Provider Demographics
NPI:1851008163
Name:AGUGUA PHYSICAL THERAPY AND WELLNESS
Entity Type:Organization
Organization Name:AGUGUA PHYSICAL THERAPY AND WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HSUAN
Authorized Official - Middle Name:
Authorized Official - Last Name:CHEN
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT
Authorized Official - Phone:346-236-4759
Mailing Address - Street 1:6710 SPRING STUEBNER RD
Mailing Address - Street 2:STE 709 PMB 1028
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77389-5197
Mailing Address - Country:US
Mailing Address - Phone:346-236-4759
Mailing Address - Fax:
Practice Address - Street 1:19 HYACINTH BLOSSOM CT
Practice Address - Street 2:
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77375-1365
Practice Address - Country:US
Practice Address - Phone:346-236-4759
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-04
Last Update Date:2022-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty