Individual
MR. JOHN PHILIP GAN CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
4444 FOREST PARK AVE, SUITE 1210, SAINT LOUIS, MO 63108-2212
(314) 286-1940
(314) 286-1473
Mailing address
4444 FOREST PARK AVE, C B 8502, SAINT LOUIS, MO 63108-2212
(314) 286-1940
(314) 286-1473
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2011016240
MO
Other
Enumeration date
02/19/2009
Last updated
08/18/2011
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