Individual
ISAAC CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
3074 PHEASANT RUN DR APT 1122, LAFAYETTE, IN 47909-3335
(347) 500-7290
Mailing address
3074 PHEASANT RUN DR APT 1122, LAFAYETTE, IN 47909-3335
(347) 500-7290
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36002983A
IN
Other
Enumeration date
06/12/2018
Last updated
06/12/2018
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