Individual
CAROL CHIANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1451 LINKSIDE DR, ATLANTIC BEACH, FL 32233-7324
(904) 400-3754
Mailing address
1451 LINKSIDE DR, ATLANTIC BEACH, FL 32233-7324
(904) 400-3754
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
12468
FL
225XE0001X
Environmental Modification Occupational Therapist
OT12468
FL
Other
Enumeration date
08/22/2007
Last updated
09/28/2020
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