Provider Demographics
NPI:1942531892
Name:CHOW, FERNIS (RPT)
Entity Type:Individual
Prefix:MRS
First Name:FERNIS
Middle Name:
Last Name:CHOW
Suffix:
Gender:F
Credentials:RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26560 AGOURA RD STE 110B
Mailing Address - Street 2:
Mailing Address - City:CALABASAS
Mailing Address - State:CA
Mailing Address - Zip Code:91302-3530
Mailing Address - Country:US
Mailing Address - Phone:818-880-1260
Mailing Address - Fax:818-880-1360
Practice Address - Street 1:26560 AGOURA RD STE 110B
Practice Address - Street 2:
Practice Address - City:CALABASAS
Practice Address - State:CA
Practice Address - Zip Code:91302-3530
Practice Address - Country:US
Practice Address - Phone:818-880-1260
Practice Address - Fax:818-880-1360
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-15
Last Update Date:2010-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT20197225100000X, 2251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics