Doctor Name: | YI TSENG |
NPI Number: | 1043638901 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | 27546 |
Business Practice Address: | 2295 Fenian Dr Campbell, CA - 950083743 |
Business Phone Number: | 4086280395 |
Business Fax Number: | |
Mailing Address: | 2295 Fenian Dr, CAMPBELL |
State: | CA |
Postal Code: | 950083743 |
Phone Number: | 4086280395 |
Fax Number: | |
NPI Enumeration Date: | 03/28/2014 |
NPI Last Update Date: | 03/28/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251G0304X |
License Number: | 27546 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Geriatrics |
Taxonomy Definition: |