Provider Demographics
NPI:1124817804
Name:LIMTENGCO, JAN CHLOE (PT, DPT)
Entity type:Individual
Prefix:
First Name:JAN CHLOE
Middle Name:
Last Name:LIMTENGCO
Suffix:
Gender:
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2436 MOONSTRUCK PL
Mailing Address - Street 2:
Mailing Address - City:CELINA
Mailing Address - State:TX
Mailing Address - Zip Code:75009-3050
Mailing Address - Country:US
Mailing Address - Phone:662-394-1459
Mailing Address - Fax:
Practice Address - Street 1:2436 MOONSTRUCK PL
Practice Address - Street 2:
Practice Address - City:CELINA
Practice Address - State:TX
Practice Address - Zip Code:75009-3050
Practice Address - Country:US
Practice Address - Phone:662-394-1459
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-01
Last Update Date:2025-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12223982251G0304X, 225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251G0304XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGeriatrics