MEDICARE: MRS. ROSITA SIA CHU P.T.

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	PT 11947	CA

General Provider Information

NPI Number	:	1437173234
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ROSITA SIA CHU P.T.

Provider Business Mailing Address
First Line	:	15837 LOS ALTOS DR
Second Line	:
City	:	HACIENDA HEIGHTS
State	:	CA
Zip	:	91745-5311
Country	:	US
Telephone Number	:	626-968-3956
Fax Number	:	626-961-3007

Provider Business Practice Location Address
First Line	:	15837 LOS ALTOS DR
Second Line	:
City	:	HACIENDA HEIGHTS
State	:	CA
Zip	:	91745-5311
Country	:	US
Telephone Number	:	626-968-3956
Fax Number	:	626-961-3007

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

Provider Enumeration Date	:	07/26/2006
Last Update Date	:	07/08/2007

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