Provider Demographics
NPI:1134902463
Name:CHEN, LING BAI (DPT)
Entity type:Individual
Prefix:
First Name:LING
Middle Name:BAI
Last Name:CHEN
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:333 N LEXINGTON DR
Mailing Address - Street 2:
Mailing Address - City:FOLSOM
Mailing Address - State:CA
Mailing Address - Zip Code:95630-7605
Mailing Address - Country:US
Mailing Address - Phone:626-525-8306
Mailing Address - Fax:
Practice Address - Street 1:333 N LEXINGTON DR
Practice Address - Street 2:
Practice Address - City:FOLSOM
Practice Address - State:CA
Practice Address - Zip Code:95630-7605
Practice Address - Country:US
Practice Address - Phone:626-525-8306
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-18
Last Update Date:2023-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist