Ho Chin An, MPT

Individual provider Active NPI Physical Therapist · Woodinville, WA

NPI 1386744480 · NPPES record last updated Jan 15, 2014

Key facts

NPI
1386744480
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
PT9040 (WA)
Practice address
17618 140TH Ave NE
Woodinville, WA 98072-6800
Phone
(425) 402-9772
Fax
(425) 402-9443
NPI assigned
Sep 25, 2006
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
PT9040WAMDPhysical Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT9040 WA Yes

Addresses

Primary practice location

17618 140TH Ave NE
Woodinville, WA 98072-6800

Mailing address

17618 140TH Ave NE
Woodinville, WA 98072-6800
Phone (425) 402-9772

Other identifiers

IdentifierTypeStateIssuer
169131OtherWALABOR & INDUSTRIES

Other providers in Woodinville, WA

All providers in Woodinville, WA · Physical Therapist in Washington

Sources for this page

Verify at the official NPI Registry.