| NPI | 1588486211 |
|---|---|
| Former Name | BETSY CHANG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 306351) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT60272725) |
| 225100000X Physical Therapist (Licence: HI PT-5848) | |
| Enumeration Date | 2024-10-24 |
| Last Update Date | 2024-10-24 |