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DAE-EIL CHONG

Individual Provider (NPI-1) Active

Physical Therapist

Provider Information

NPI Number
1831474410
Provider Type
Individual Provider (NPI-1)
Status
Active

Contact & Location

Address
388 YPAO RD, TAMUNING, GU, 969133701
Phone
(671) 646-8881
Fax
(671) 646-1292

Specialties & Taxonomies

Physical Therapist License: CA #38707
Physical Therapist License: NY #033363
Physical Therapist Primary License: GU #PT-156

All Addresses

LOCATION

388 YPAO RD

TAMUNING, GU, 969133701

(671) 646-8881

MAILING

20601 W PAOLI LANE

WEIMAR, CA, 95736