Individual
SHONG CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10 TOWER DR, SUN PRAIRIE, WI 53590-1239
(608) 825-3578
Mailing address
10 TOWER DR, SUN PRAIRIE, WI 53590-1239
(608) 825-3578
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3069-19
WI
Other
Enumeration date
10/07/2022
Last updated
10/11/2022
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