Individual
CAROLYN JESSICA CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
2115 MONTIEL RD STE 103, SAN MARCOS, CA 92069-3587
(760) 839-2905
(760) 839-2901
Mailing address
3760 CONVOY ST STE 101, SAN DIEGO, CA 92111-3743
(858) 264-1434
(858) 751-0901
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT298690
CA
Other
Enumeration date
10/13/2020
Last updated
10/14/2020
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