Individual
CALVIN CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
400 S 43RD ST, RENTON, WA 98055-5714
(425) 251-5165
(425) 656-4028
Mailing address
3600 LIND AVE SW, SUITE 100 ATTN CREDENTIALING, RENTON, WA 98057
(425) 228-3440
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT60379845
WA
Other
Enumeration date
04/23/2019
Last updated
04/23/2019
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