MEDICARE: PATRICE ELAINE CHEN DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	42874	CA

General Provider Information

NPI Number	:	1689109571
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PATRICE ELAINE CHEN DPT

Provider Business Mailing Address
First Line	:	39400 PASEO PADRE PKWY
Second Line	:
City	:	FREMONT
State	:	CA
Zip	:	94538-2310
Country	:	US
Telephone Number	:	510-248-3000
Fax Number	:

Provider Business Practice Location Address
First Line	:	3150 ALMADEN EXPY
Second Line	:	SUITE 120
City	:	SAN JOSE
State	:	CA
Zip	:	95118-1200
Country	:	US
Telephone Number	:	408-540-7622
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/27/2017
Last Update Date	:	01/11/2022

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Directions to “ PATRICE ELAINE CHEN DPT” Practice Location

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