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Individual

MRS. CHY-CHING CHUANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
2501 S VOLUSIA AVE, ORANGE CITY, FL 32763-9116
(386) 744-6333
(386) 774-6441
Mailing address
PO BOX 953925, LAKE MARY, FL 32795-3925
(386) 774-6333
(386) 774-6441

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 22574
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1720155997
GROUP NPI
01
1869541
FIRST HEALTH GROUP #
01
2381853
AETNA GROUP NUMBER
01
CH2068
RAILROAD MEDICARE
01
PT 22574
PT LICENSE
FL
01
Y923D
BCBS GROUP
01
Y923L
BCBS GROUP PO
01
Y926B
BCBS GROUP OB
Enumeration date
11/02/2007
Last updated
11/02/2007
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