Priscilla Chan, PT, DPT
Physical Therapist in West Covina, CA. Individual provider (NPI-1).
NPI number1588310056
StatusActive
Last updated in NPPESFeb 23, 2022
Details
- NPI
- 1588310056
- Entity type
- Individual (NPI-1)
- Name
- Priscilla Chan
- Credential
- PT, DPT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 23, 2022
- Certification date
- Feb 23, 2022
- Last updated
- Feb 23, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | – | – | Yes |
Practice location
1135 S Sunset Ave Ste 101West Covina, CA 91790-3938
Phone 626-732-8351
Mailing address
10250 Randwick DrTemple City, CA 91780-3351
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