Provider Demographics
NPI:1922315605
Name:CHEN, HENGJIA (DPT)
Entity Type:Individual
Prefix:
First Name:HENGJIA
Middle Name:
Last Name:CHEN
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:RR 1 BOX 140C
Mailing Address - Street 2:
Mailing Address - City:TOWANDA
Mailing Address - State:PA
Mailing Address - Zip Code:18848-9787
Mailing Address - Country:US
Mailing Address - Phone:570-265-1111
Mailing Address - Fax:570-265-7134
Practice Address - Street 1:16749 STATE ROUTE 706
Practice Address - Street 2:SUITE 6
Practice Address - City:MONTROSE
Practice Address - State:PA
Practice Address - Zip Code:18801-7706
Practice Address - Country:US
Practice Address - Phone:570-278-1101
Practice Address - Fax:570-278-1102
Is Sole Proprietor?:No
Enumeration Date:2010-09-02
Last Update Date:2010-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist