Individual
MRS. KAYLA K CHUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
3400 CROASDAILE DR, 201, DURHAM, NC 27705-6815
(347) 393-2374
Mailing address
1102 PEBBLE CREEK XING, DURHAM, NC 27713-8959
(919) 765-5292
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10209
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7211826
—
NC
Enumeration date
12/04/2006
Last updated
07/09/2007
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