Individual
JORDAN R CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
600 E MAIN ST STE A, RADFORD, VA 24141-1826
(540) 663-0413
Mailing address
602 PROGRESS ST NE, 2, BLACKSBURG, VA 24060-7225
(410) 599-8405
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305207623
VA
Other
Enumeration date
09/24/2012
Last updated
09/24/2012
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