Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 6167 | NC |
NPI | 1023433398 |
---|---|
Provider Name | Dr. Hung-Yuan Cheng |
First Address | Raleigh, NC 27609-7388 |
Second Address | Raleigh, NC 27609-7388 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/02/2014 |
Last Update Date | 12/02/2019 |