Individual
CHRISTIANA KANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
3830 PARK AVE, 208, EDISON, NJ 08820-2562
(732) 494-9089
(732) 494-0896
Mailing address
3830 PARK AVE, 208, EDISON, NJ 08820-2562
(732) 494-9089
(732) 494-0896
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA1371200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
40QA1371200
NEW JERSEY LICENSE NUMBER
NJ
Enumeration date
09/24/2010
Last updated
09/24/2010
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