Individual
YICHEN CHUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
9500 CANTON LOOP, ANCHORAGE, AK 99515
(907) 360-3648
Mailing address
9500 CANTON LOOP, ANCHORAGE, AK 99515-1429
(907) 360-3648
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
106666
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1021187
—
AK
Enumeration date
08/30/2016
Last updated
08/06/2018
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