Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | ||
N | 225XP0019X | Occupational Therapist - Physical Rehabilitation |
NPI | 1033669213 |
---|---|
Provider Name | Sun Hwa Chang |
First Address | Pasadena, CA 91188-0001 |
Second Address | Los Angeles, CA 90089-0080 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/10/2016 |
Last Update Date | 05/09/2018 |