Individual
SHEROLYN CHANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
12391 SW MILLVIEW CT, TIGARD, OR 97223-3514
(808) 728-5481
Mailing address
12391 SW MILLVIEW CT, TIGARD, OR 97223-3514
(808) 728-5481
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
8764
ID
225200000X
Physical Therapy Assistant
Primary
9848
OR
225200000X
Physical Therapy Assistant
A-1071
NV
225200000X
Physical Therapy Assistant
CP014925A
CO
225200000X
Physical Therapy Assistant
CP017930A
WA
Other
Enumeration date
05/23/2023
Last updated
05/23/2023
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