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Individual

LUCIO CHANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
15331 SW 144TH ST, MIAMI, FL 33196-4633
(305) 924-5388
Mailing address
15331 SW 144TH ST, MIAMI, FL 33196-4633

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA32301
FL

Other

Enumeration date
09/28/2022
Last updated
09/28/2022
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