Provider Demographics
NPI:1215055447
Name:CHAO-BURNS, ROSE SHU-MAY (PT)
Entity type:Individual
Prefix:MRS
First Name:ROSE
Middle Name:SHU-MAY
Last Name:CHAO-BURNS
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2654 SAN CARLOS AVE
Mailing Address - Street 2:
Mailing Address - City:SAN CARLOS
Mailing Address - State:CA
Mailing Address - Zip Code:94070-1755
Mailing Address - Country:US
Mailing Address - Phone:650-610-0810
Mailing Address - Fax:
Practice Address - Street 1:1200 INDUSTRIAL RD
Practice Address - Street 2:SUITE 1
Practice Address - City:SAN CARLOS
Practice Address - State:CA
Practice Address - Zip Code:94070-4123
Practice Address - Country:US
Practice Address - Phone:650-654-1223
Practice Address - Fax:650-654-1205
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT18579225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist