Provider Demographics
NPI:1427157965
Name:CHAO, JEFFREY TZE-CHIEH (RPT)
Entity type:Individual
Prefix:
First Name:JEFFREY
Middle Name:TZE-CHIEH
Last Name:CHAO
Suffix:
Gender:M
Credentials:RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:801 W VALLEY BLVD
Mailing Address - Street 2:SUITE 203
Mailing Address - City:ALHAMBRA
Mailing Address - State:CA
Mailing Address - Zip Code:91803-3250
Mailing Address - Country:US
Mailing Address - Phone:626-576-5757
Mailing Address - Fax:626-576-5760
Practice Address - Street 1:801 W VALLEY BLVD
Practice Address - Street 2:SUITE 203
Practice Address - City:ALHAMBRA
Practice Address - State:CA
Practice Address - Zip Code:91803-3250
Practice Address - Country:US
Practice Address - Phone:626-576-5757
Practice Address - Fax:626-576-5760
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT22238225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist