Provider Demographics
NPI:1104845577
Name:OH, SIANG TING (PT)
Entity type:Individual
Prefix:MR
First Name:SIANG
Middle Name:TING
Last Name:OH
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1077 N CHURCH ST
Mailing Address - Street 2:
Mailing Address - City:HAZLE TOWNSHIP
Mailing Address - State:PA
Mailing Address - Zip Code:18202-1465
Mailing Address - Country:US
Mailing Address - Phone:570-501-1808
Mailing Address - Fax:855-635-6308
Practice Address - Street 1:1077 N CHURCH ST
Practice Address - Street 2:
Practice Address - City:HAZLE TOWNSHIP
Practice Address - State:PA
Practice Address - Zip Code:18202-1465
Practice Address - Country:US
Practice Address - Phone:570-501-1808
Practice Address - Fax:855-635-6308
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2020-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT010653L208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation