Individual
CONNIE CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
555 W HACIENDA AVE, #105, CAMPBELL, CA 95008-6546
(408) 466-4951
Mailing address
555 W HACIENDA AVE, #105, CAMPBELL, CA 95008-6546
(408) 466-4951
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
28017
CA
Other
Enumeration date
04/12/2011
Last updated
04/12/2011
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