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Individual
MICHELLE CHUNG
Active
Individual
MICHELLE CHUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070-016510
IL
225100000X
Physical Therapist
2305205934
VA
225100000X
Physical Therapist
35402
CA
225100000X
Physical Therapist
PT-3090
HI
Other
Enumeration date
07/29/2008
Last updated
07/13/2017
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