| NPI | 1245507011 |
|---|---|
| Other Name | JASON CHANG |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: HI 3594) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 38433) |
| Enumeration Date | 2011-11-22 |
| Last Update Date | 2015-01-06 |