Individual
ELAINE M CHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
632 ORANGE ST, DALY CITY, CA 94014-2848
(510) 717-0789
Mailing address
632 ORANGE ST, DALY CITY, CA 94014-2848
(510) 717-0789
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
9277
CA
Other
Enumeration date
01/18/2012
Last updated
01/18/2012
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