Basic Information
| Provider Information | |||||||||
| NPI: | 1861452427 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | CHEUNG | ||||||||
| FirstName: | EMMA | ||||||||
| MiddleName: | WONG | ||||||||
| NamePrefix: | MS. | ||||||||
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| Credential: | P.T. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 510 SOUTH HILL BLVD | ||||||||
| Address2: | |||||||||
| City: | DALY CITY | ||||||||
| State: | CA | ||||||||
| PostalCode: | 940141419 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4152928852 | ||||||||
| FaxNumber: | 4152928745 | ||||||||
| Practice Location | |||||||||
| Address1: | 1333 BUSH ST | ||||||||
| Address2: | |||||||||
| City: | SAN FRANCISCO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 941095611 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4152928852 | ||||||||
| FaxNumber: | 4152928745 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/27/2006 | ||||||||
| LastUpdateDate: | 11/01/2013 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2251G0304X | 14268 | CA | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Geriatrics |
No ID Information.