# EXPANSE WELLNESS ACUPUNCTURE AND PHYSICAL THERAPY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588428262
- **Authorized official:** WENDY CHAN DPT, LAC, DIPL OM (OWNER)
- **Authorized official phone:** (818) 373-9014

## Contact information

- **Practice address:** 13906 FIJI WAY APT 352, MARINA DEL REY, CA 90292-6934
- **Practice address phone:** (818) 373-9014
- **Mailing address:** 13906 FIJI WAY APT 352, MARINA DEL REY, CA 90292-6934
- **Mailing address phone:** (818) 373-9014

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | — | NULL | Yes |
| 171100000X | Acupuncturist | — | — | Yes |
| 225100000X | Physical Therapist | — | NULL | — |
| 225100000X | Physical Therapist | — | — | — |

## Other

- **Enumeration date:** 02/12/2024
- **Last updated:** 02/12/2024