Provider Demographics
NPI:1093267932
Name:HUANG, CYNTHIA SARAH (DPT)
Entity type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:SARAH
Last Name:HUANG
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:PO BOX 493396
Mailing Address - Street 2:
Mailing Address - City:REDDING
Mailing Address - State:CA
Mailing Address - Zip Code:96049-3396
Mailing Address - Country:US
Mailing Address - Phone:530-221-9952
Mailing Address - Fax:530-221-9910
Practice Address - Street 1:1495 VICTOR AVE
Practice Address - Street 2:SUITE D
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96003-4093
Practice Address - Country:US
Practice Address - Phone:530-221-8090
Practice Address - Fax:530-221-9954
Is Sole Proprietor?:No
Enumeration Date:2016-10-26
Last Update Date:2018-03-20
Deactivation Date:2018-03-06
Deactivation Code:
Reactivation Date:2018-03-20
Provider Licenses
StateLicense IDTaxonomies
CAPT291972225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist