Provider Demographics
NPI:1942423256
Name:TU, HOA A (PT)
Entity Type:Individual
Prefix:
First Name:HOA
Middle Name:A
Last Name:TU
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 1:1330 W WINONA ST
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60640-2910
Mailing Address - Country:US
Mailing Address - Phone:773-818-3535
Mailing Address - Fax:773-944-9445
Practice Address - Street 1:1330 W WINONA ST
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60640-2910
Practice Address - Country:US
Practice Address - Phone:773-818-3535
Practice Address - Fax:773-944-9445
Is Sole Proprietor?:No
Enumeration Date:2007-04-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL2251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics