Provider Demographics
NPI:1861956468
Name:HU, HSIAOYUN (PT, DPT)
Entity type:Individual
Prefix:
First Name:HSIAOYUN
Middle Name:
Last Name:HU
Suffix:
Gender:F
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 1:13908 LAKESHORE BLVD STE 210
Mailing Address - Street 2:
Mailing Address - City:HUDSON
Mailing Address - State:FL
Mailing Address - Zip Code:34667-1492
Mailing Address - Country:US
Mailing Address - Phone:909-414-9318
Mailing Address - Fax:
Practice Address - Street 1:13908 LAKESHORE BLVD STE 210
Practice Address - Street 2:
Practice Address - City:HUDSON
Practice Address - State:FL
Practice Address - Zip Code:34667-1492
Practice Address - Country:US
Practice Address - Phone:909-414-9318
Practice Address - Fax:727-245-7872
Is Sole Proprietor?:No
Enumeration Date:2019-01-28
Last Update Date:2020-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT32708225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist