Individual
KAYLA CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
513 SOUTH ST, WRENTHAM, MA 02093-1565
(508) 205-2655
Mailing address
5250 S STREET FRONTAGE RD E, SPRINGFIELD, IL 62703
(508) 205-2655
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
12/16/2024
Last updated
12/16/2024
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