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Michael Chung, PTA
NPI 1235401928 · on the registry since 2012 · sole proprietor
Practice
- Address
- 846 W Foothill Blvd # C
Upland, CA 91786 - Phone
- (909) 985-8686
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-01-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California