Individual
CAROLYN CHU PHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
14120 BEACH BLVD STE 225, WESTMINSTER, CA 92683-4497
(866) 303-9355
Mailing address
11582 ELIZABETH ST, GARDEN GROVE, CA 92840-1632
(714) 782-8423
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
301103
CA
Other
Enumeration date
10/06/2021
Last updated
03/29/2022
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