Individual
JOHNSON CHU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
301 INDUSTRIAL RD, SAN CARLOS, CA 94070-2603
(650) 632-0816
Mailing address
325 DISTEL CIR, LOS ALTOS, CA 94022-1408
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
PT300594
CA
225100000X
Physical Therapist
11144
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11144
LICENSE
CT
Enumeration date
08/24/2016
Last updated
06/09/2022
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