# CHAPEL HILL FUNCTIONAL CLINIC PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215272950
- **Authorized official:** DR. INGRID LUO-TSENG MD (OWNER PHYSICIAN)
- **Authorized official phone:** (919) 943-8460

## Contact information

- **Practice address:** 6208 FAYETTEVILLE RD STE 106, DURHAM, NC 27713-6286
- **Practice address phone:** (919) 943-8460
- **Practice address fax:** (919) 484-2213
- **Mailing address:** 112 PERKINS DR STE 200, CHAPEL HILL, NC 27514-1786
- **Mailing address phone:** (919) 943-8460
- **Mailing address fax:** (919) 401-5145

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/06/2012
- **Last updated:** 10/01/2019