Individual
ANGELA RENEE CHUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
2964 LIMITED LN NW STE A, OLYMPIA, WA 98502-4577
(360) 704-7276
(360) 704-7277
Mailing address
111 TUMWATER BLVD SE STE 113, TUMWATER, WA 98501-6422
(360) 704-7276
(360) 704-7277
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT60369827
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0314971
DEPT. OF LABOR AND INDUSTRIES
WA
05
—
1184058877
—
WA
01
—
P01400786
MEDICARE RAILROAD
WA
Enumeration date
08/29/2013
Last updated
04/25/2019
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