Provider Demographics
NPI:1457527574
Name:CHAO, SOPHIA CHUN (DPT)
Entity type:Individual
Prefix:
First Name:SOPHIA
Middle Name:CHUN
Last Name:CHAO
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 1:527 VALLEY VIEW DR
Mailing Address - Street 2:
Mailing Address - City:VERMILLION
Mailing Address - State:SD
Mailing Address - Zip Code:57069-3538
Mailing Address - Country:US
Mailing Address - Phone:402-878-2440
Mailing Address - Fax:
Practice Address - Street 1:1407 EAST CHERRY ST
Practice Address - Street 2:GREAT PLAINS THERAPY
Practice Address - City:VERMILLION
Practice Address - State:SD
Practice Address - Zip Code:57069
Practice Address - Country:US
Practice Address - Phone:605-202-1300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-08
Last Update Date:2010-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1961225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist