Individual
IVY RENEE CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
325 9TH AVE, SEATTLE, WA 98104-2499
(206) 744-3000
Mailing address
7929 31ST AVE SW, SEATTLE, WA 98126-3533
(206) 271-7824
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT61146877
WA
Other
Enumeration date
07/19/2021
Last updated
07/19/2021
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