Individual
JACLYN CHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
20501 VENTURA BLVD STE 380, WOODLAND HILLS, CA 91364-6432
(818) 343-3900
Mailing address
1525 AMHERST AVE APT 202, LOS ANGELES, CA 90025-3647
(310) 597-9854
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
291081
CA
Other
Enumeration date
05/02/2018
Last updated
05/02/2018
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