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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. MARIVIC MALLARI CHANG, PT,DPT,CKTP

Active Sole Proprietor

DR. MARIVIC MALLARI CHANG, PT,DPT,CKTP is a Physical Therapy Assistant healthcare provider located in JACKSONVILLE, Florida. NPI 1578748059 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · JACKSONVILLE, FL

Registration Details

NPI Number
1578748059
Provider Type
Individual
Gender
Female
NPI Issued
Jan 3, 2008 (18.616641320177 yrs)
Last Updated
Jul 21, 2022
License
23745 (FL)
Sole Proprietor
Yes

Practice Information

Address
9527 REGENCY SQUARE BLVD STE 105
JACKSONVILLE, FL, 322258807
Browse FL providers · Browse ZIP 32225
Phone
9046474263
Fax
9048554010
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in JACKSONVILLE, FL

Name Credential NPI
JOANNA LEIGH MARSHALL PT 1154326536
DONNA LOUISE ZIEGLER PT 1184629560
DAWN NICHELLE ROSADO MPT 1578568952
DEBORAH JANET ROCKETT PT 1174528566
KYLE G CORBIN PT 1437154804
SARAH L KATSARAS PT 1376548776
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.