Provider Demographics
NPI:1780717496
Name:HO, ELEANOR YEE (MPT, CLT)
Entity type:Individual
Prefix:MS
First Name:ELEANOR
Middle Name:YEE
Last Name:HO
Suffix:
Gender:F
Credentials:MPT, CLT
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:200 NEWPORT CENTER DR
Mailing Address - Street 2:#213
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92660-7501
Mailing Address - Country:US
Mailing Address - Phone:949-644-1322
Mailing Address - Fax:949-644-0316
Practice Address - Street 1:311 W ORANGE AVE
Practice Address - Street 2:SUITE 202
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92804-3145
Practice Address - Country:US
Practice Address - Phone:714-527-2289
Practice Address - Fax:714-527-2014
Is Sole Proprietor?:No
Enumeration Date:2007-03-13
Last Update Date:2010-06-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CA16587225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADA989ZMedicare PIN