Individual
DAE-EIL CHONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
388 YPAO RD, TAMUNING, GU 96913-3701
(671) 646-8881
(671) 646-1292
Mailing address
20601 W PAOLI LANE, WEIMAR, CA 95736
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
033363
NY
225100000X
Physical Therapist
38707
CA
225100000X
Physical Therapist
Primary
PT-156
GU
Other
Enumeration date
10/14/2011
Last updated
04/25/2023
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