Provider Demographics
NPI:1346581501
Name:FU, CHE CHING (OTR/L, CHT)
Entity type:Individual
Prefix:MS
First Name:CHE CHING
Middle Name:
Last Name:FU
Suffix:
Gender:F
Credentials:OTR/L, CHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1422 BANK ST
Mailing Address - Street 2:#3
Mailing Address - City:SOUTH PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91030-3848
Mailing Address - Country:US
Mailing Address - Phone:626-376-5113
Mailing Address - Fax:
Practice Address - Street 1:1422 BANK ST
Practice Address - Street 2:#3
Practice Address - City:SOUTH PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91030-3848
Practice Address - Country:US
Practice Address - Phone:626-376-5113
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-12
Last Update Date:2013-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA5907225X00000X, 225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand