Provider Demographics
NPI:1982098216
Name:GUANZON, RADEYN CHUA (RPT)
Entity Type:Individual
Prefix:MR
First Name:RADEYN
Middle Name:CHUA
Last Name:GUANZON
Suffix:
Gender:M
Credentials:RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44 N. VALLEY FORGE RD
Mailing Address - Street 2:FOX REHAB - PENNSYLVANIA REGIONAL OFFICE
Mailing Address - City:DEVON
Mailing Address - State:PA
Mailing Address - Zip Code:19333
Mailing Address - Country:US
Mailing Address - Phone:877-407-3422
Mailing Address - Fax:
Practice Address - Street 1:44 N. VALLEY FORGE RD
Practice Address - Street 2:FOX REHAB - PENNSYLVANIA REGIONAL OFFICE
Practice Address - City:DEVON
Practice Address - State:PA
Practice Address - Zip Code:19333
Practice Address - Country:US
Practice Address - Phone:877-407-3422
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-03-25
Last Update Date:2015-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist