SIMON CHANG

TUCKER, GA
NPI1134936982
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy261QP2000X Clinic/Center, Physical Therapy
(Licence: GA  PT016743)
Enumeration Date2024-12-16
Last Update Date2024-12-16
Business Address
Dr. SIMON CHANG PT, DPT
2456 SUMMEROAK DR
TUCKER, GA 30084-3453
Phone number: 706-810-0065
Mailing Address
Dr. SIMON CHANG PT, DPT
2887 MALTON WAY
LOGANVILLE, GA 30052-1112
Phone number: 770-231-5842
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