Provider Demographics
NPI:1871730689
Name:CHEN, LI-HSUEH (PT,DPT)
Entity type:Individual
Prefix:MR
First Name:LI-HSUEH
Middle Name:
Last Name:CHEN
Suffix:
Gender:M
Credentials:PT,DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11535 BALSAM AVE
Mailing Address - Street 2:
Mailing Address - City:HESPERIA
Mailing Address - State:CA
Mailing Address - Zip Code:92345-1905
Mailing Address - Country:US
Mailing Address - Phone:626-316-2351
Mailing Address - Fax:760-947-9332
Practice Address - Street 1:11535 BALSAM AVE
Practice Address - Street 2:
Practice Address - City:HESPERIA
Practice Address - State:CA
Practice Address - Zip Code:92345-1905
Practice Address - Country:US
Practice Address - Phone:631-520-8460
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-01-15
Last Update Date:2009-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA35143225100000X
NY029796225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist