Individual
TIMOTHY CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1401 S BERETANIA ST STE 610, HONOLULU, HI 96814-1873
(808) 691-4211
Mailing address
1401 S BERETANIA ST STE 610, HONOLULU, HI 96814-1873
(808) 691-4211
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-3540
HI
225100000X
Physical Therapist
PT60303693
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0302030
L & I
WA
01
—
0302052
L & I
WA
Enumeration date
08/09/2012
Last updated
02/22/2024
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