Individual
CHRIS SUNG KANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
14605 POTOMAC BRANCH DR STE 200, WOODBRIDGE, VA 22191-3337
(703) 580-5160
Mailing address
5009 PRINCE CASPIAN LN, BURKE, VA 22015-2100
(571) 527-8697
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305213856
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
353222911010
—
VA
Enumeration date
10/13/2020
Last updated
10/13/2020
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