Provider Demographics
NPI:1770611014
Name:SHEN, YUCHOU (PT, DPT, MS, GCS)
Entity type:Individual
Prefix:DR
First Name:YUCHOU
Middle Name:
Last Name:SHEN
Suffix:
Gender:M
Credentials:PT, DPT, MS, GCS
Other - Prefix:DR
Other - First Name:YUCHOU
Other - Middle Name:SOLOMON
Other - Last Name:SHEN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PT, DPT, MS, GCS
Mailing Address - Street 1:48 GLEN ROCK AVE
Mailing Address - Street 2:
Mailing Address - City:MALDEN
Mailing Address - State:MA
Mailing Address - Zip Code:02148-1311
Mailing Address - Country:US
Mailing Address - Phone:781-321-4702
Mailing Address - Fax:781-321-4702
Practice Address - Street 1:146 PARK AVE
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:MA
Practice Address - Zip Code:02476-5829
Practice Address - Country:US
Practice Address - Phone:781-648-9530
Practice Address - Fax:781-646-3668
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA15436225100000X
NY021851-1225100000X
CA32814225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist