MR. Michael Chung, PTA
NPI #1235401928 in Upland, California
Provider Information
- NPI Number
- 1235401928
- Entity Type
- Individual
- Name
- MR. Michael Chung, PTA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Therapy Assistant
- Credential
- PTA
- Enumeration Date
- Jan 27, 2012
- Last Updated
- Jan 27, 2012
Practice Location
- Address
- 846 W FOOTHILL BLVD # C
- City
- Upland
- State
- California
- ZIP Code
- 91786
- Phone
- (909) 985-8686
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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