Individual
CHANGMIN HAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT, MS
Contact information
Practice address
430 W MERRICK RD STE 2, VALLEY STREAM, NY 11580-5201
(929) 544-1029
Mailing address
PO BOX 520312, FLUSHING, NY 11352-0312
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
035675
NY
Other
Enumeration date
02/02/2017
Last updated
09/26/2022
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