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Individual
PETER CHANG
Active
Individual
PETER CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305206545
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
365769
BCBS (PHYSICAL THERAPY)
VA
01
—
9492613
AETNA
VA
01
—
P00871014
MEDICARE RAILROAD
VA
Enumeration date
07/19/2010
Last updated
11/12/2025
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