Individual
VIVIANNA CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
104 WALNUT LN STE 106, NORTH AUGUSTA, SC 29860-8684
(803) 599-5990
Mailing address
1200 CORPORATE DR STE 400, HOOVER, AL 35242-5424
(423) 238-7217
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
13069
SC
Other
Enumeration date
09/02/2025
Last updated
09/02/2025
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