Individual
DIANA S CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1102 WINKLER AVE, KILLEEN, TX 76542-6249
(254) 634-8505
(254) 221-7710
Mailing address
605 DONNIE AVE, KILLEEN, TX 76541-8918
(254) 634-8505
(254) 221-7710
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
0119005365
VA
225X00000X
Occupational Therapist
017570
NY
225XP0200X
Pediatric Occupational Therapist
Primary
117102
TX
Other
Enumeration date
04/24/2012
Last updated
09/01/2015
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