Individual
MR. CRAIG MARTIN CHANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1010 S 336TH ST, STE 210, FEDERAL WAY, WA 98003-6385
(253) 835-8091
Mailing address
629 SW 331ST ST, FEDERAL WAY, WA 98023-6173
(206) 227-8504
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
P1 60106080
WA
Other
Enumeration date
07/26/2011
Last updated
07/26/2011
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