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Organization
EXPANSE WELLNESS ACUPUNCTURE AND PHYSICAL THERAPY
Active
Organization
EXPANSE WELLNESS ACUPUNCTURE AND PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WENDY CHAN DPT, LAC, DIPL OM (OWNER)
(818) 373-9014
Entity
Organization
Contact information
Practice address
13906 FIJI WAY APT 352, MARINA DEL REY, CA 90292-6934
(818) 373-9014
Mailing address
13906 FIJI WAY APT 352, MARINA DEL REY, CA 90292-6934
(818) 373-9014
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
NULL
171100000X
Acupuncturist
Primary
—
—
225100000X
Physical Therapist
—
NULL
225100000X
Physical Therapist
—
—
Other
Enumeration date
02/12/2024
Last updated
02/12/2024
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