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1760760698
CRAIG MARTIN CHANG
FEDERAL WAY, WA
NPI
1760760698
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: WA p1 60106080)
Enumeration Date
2011-07-26
Last Update Date
2011-07-26
Business Address
Mr. CRAIG MARTIN CHANG PTA
1010 S 336TH ST STE 210
FEDERAL WAY, WA 98003-6385
Phone number: 253-835-8091
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Mailing Address
Mr. CRAIG MARTIN CHANG PTA
629 SW 331ST ST
FEDERAL WAY, WA 98023-6173
Phone number: 206-227-8504
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