Individual
KELSI ANTONSEN CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
9909 224TH ST E UNIT 100B, GRAHAM, WA 98338-7086
(253) 780-4968
Mailing address
13506 62ND AVE E, PUYALLUP, WA 98373-5166
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
61384435
WA
Other
Enumeration date
01/23/2023
Last updated
11/22/2023
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