Individual
KATIE CHUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4350 E RAY RD, PHOENIX, AZ 85044-4703
(480) 704-5954
Mailing address
5342 W BLOOMFIELD RD, GLENDALE, AZ 85304-1956
(623) 810-2493
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
LPT-30826
AZ
Other
Enumeration date
08/12/2019
Last updated
08/12/2019
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