Provider Demographics
NPI:1700813821
Name:YAO, SHU-CHEN (PT)
Entity Type:Individual
Prefix:MS
First Name:SHU-CHEN
Middle Name:
Last Name:YAO
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MISS
Other - First Name:SHU-CHEN
Other - Middle Name:
Other - Last Name:WEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:18320 CYPRESS VIEW WAY
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33647-1817
Mailing Address - Country:US
Mailing Address - Phone:813-973-1009
Mailing Address - Fax:
Practice Address - Street 1:13000 BRUCE B DOWNS BLVD
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33612-4745
Practice Address - Country:US
Practice Address - Phone:813-972-2000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT 3605225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist