Individual
MR. KEVIN CHENG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
9764 GARDEN GROVE BLVD, GARDEN GROVE, CA 92844-1615
(714) 624-5941
Mailing address
16433 WOODRUFF AVE APT 35, BELLFLOWER, CA 90706-4958
(646) 864-9440
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
50932
CA
Other
Enumeration date
04/02/2021
Last updated
04/02/2021
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