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NPI Code Detail

MEDICARE: NANCY CHANG PT

MEDICARE: NANCY CHANG PT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist2133CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1174585509
Entity Type Code : Individual
Provider Name (Legal Business Name) : NANCY CHANG PT
Provider Business Mailing Address
First Line : 5830 S FRANKLIN CT
Second Line :
City : GREENWOOD VILLAGE
State : CO
Zip : 80121-1561
Country : US
Telephone Number : 303-795-9055
Fax Number :
Provider Business Practice Location Address
First Line : 7340 S ALTON WAY
Second Line : STE 11-D
City : CENTENNIAL
State : CO
Zip : 80112-2335
Country : US
Telephone Number : 720-493-1181
Fax Number : 720-493-1191
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/03/2006
Last Update Date : 07/08/2007

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Directions to “ NANCY CHANG PT” Practice Location

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