Most Relevant Information
Provider Data
| NPI Number: | 1003408246 |
| Provider Name: | ROSE CHANG |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/09/2021 |
| Last Updated: | 02/09/2021 |
Provider Practice Location
1301 W ARROW HWY # 130
SAN DIMAS
CA
917732330
Practice Location Phone/Fax
| Phone: | 9092222745 |
| Fax: |
Provider Mailing Location
1301 W ARROW HWY # 130
SAN DIMAS
CA
917732330
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |