Provider Demographics
NPI:1649441262
Name:CHIU, KA YAN (MPT)
Entity type:Individual
Prefix:MISS
First Name:KA YAN
Middle Name:
Last Name:CHIU
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:MISS
Other - First Name:DAISY
Other - Middle Name:
Other - Last Name:CHIU
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MPT
Mailing Address - Street 1:350 SAINT JOSEPHS AVE
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94115-3255
Mailing Address - Country:US
Mailing Address - Phone:415-833-9001
Mailing Address - Fax:
Practice Address - Street 1:350 SAINT JOSEPHS AVE
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94115-3255
Practice Address - Country:US
Practice Address - Phone:415-833-9001
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-03-23
Last Update Date:2022-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA23960225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist