Individual
KIMBERLY CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
275 N MIDDLETOWN RD, PEARL RIVER, NY 10965-1188
(845) 393-2188
Mailing address
275 N MIDDLETOWN RD, PEARL RIVER, NY 10965-1188
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
002066
NY
Other
Enumeration date
09/20/2021
Last updated
09/20/2021
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