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NPI Code Detail

MEDICARE: RENEE JANESSA CHIU PT

MEDICARE: RENEE JANESSA CHIU PT
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
1225100000XPhysical TherapistPT21042FL

General Provider Information

NPI Number : 1972874220
Entity Type Code : Individual
Provider Name (Legal Business Name) : RENEE JANESSA CHIU PT
Provider Business Mailing Address
First Line : 5823 COVINGTON COVE WAY
Second Line :
City : ORLANDO
State : FL
Zip : 32829-8839
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7950 LAKE UNDERHILL RD
Second Line :
City : ORLANDO
State : FL
Zip : 32822-8229
Country : US
Telephone Number : 407-658-2046
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/18/2012
Last Update Date : 01/19/2012

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Directions to “ RENEE JANESSA CHIU PT” Practice Location

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