Provider Demographics
NPI:1588250666
Name:HSUEH-SHAN PHYSICAL THERAPY CORPORATION
Entity type:Organization
Organization Name:HSUEH-SHAN PHYSICAL THERAPY CORPORATION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CHENG-JUNG
Authorized Official - Middle Name:
Authorized Official - Last Name:WU
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:626-842-7118
Mailing Address - Street 1:18633 GALE AVE STE 102
Mailing Address - Street 2:
Mailing Address - City:CITY OF INDUSTRY
Mailing Address - State:CA
Mailing Address - Zip Code:91748-1343
Mailing Address - Country:US
Mailing Address - Phone:626-269-0991
Mailing Address - Fax:
Practice Address - Street 1:320 S GARFIELD AVE STE 302
Practice Address - Street 2:
Practice Address - City:ALHAMBRA
Practice Address - State:CA
Practice Address - Zip Code:91801-6816
Practice Address - Country:US
Practice Address - Phone:626-300-8341
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-14
Last Update Date:2023-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty