Dae-Eil Chong

Physical Therapist · Tamuning, GU

Individual Active NPI

NPI number 1831474410

Practice location

388 Ypao Rd
Tamuning, GU 96913-3701
Phone
(671) 646-8881
Fax
(671) 646-1292

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NPI record

NPI
1831474410
Entity type
Individual (Type 1)
Enumeration date
October 14, 2011
Last updated
April 25, 2023
Certified
April 25, 2023
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physical Therapist Primary 225100000X PT-156 GU
Physical Therapist 225100000X 38707 CA
Physical Therapist 225100000X 033363 NY

Mailing address

20601 W Paoli Lane
Weimar, CA 95736

Other practice locations (1)

  • 1110 Civic Center Blvd Ste 502, Yuba City, CA 95993-3015 · (530) 671-7977

About Dae-Eil Chong

Dae-Eil Chong is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapist (code 225100000X). The practice location is 388 Ypao Rd, Tamuning, GU 96913-3701. The NPI number 1831474410 was assigned on October 14, 2011 and the record was last updated on April 25, 2023.

Dae-Eil Chong lists 3 licenses in the registry: #PT-156 (GU) for Physical Therapist; #38707 (CA) for Physical Therapist; #033363 (NY) for Physical Therapist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Dae-Eil Chong?

The NPI number is 1831474410.

What is the phone number of Dae-Eil Chong?

The phone number listed for the practice location is (671) 646-8881.

Where is Dae-Eil Chong located?

388 Ypao Rd, Tamuning, GU 96913-3701.

What is the taxonomy code for Dae-Eil Chong?

The primary taxonomy code is 225100000X – Physical Therapist; 2 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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