Individual
MR. RAYMOND CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
25 N 14TH ST, 550, SAN JOSE, CA 95112-6204
(408) 294-3922
Mailing address
3497 WALTER DINOS CT, HAYWARD, CA 94542-1347
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5815
CA
Other
Enumeration date
11/12/2015
Last updated
11/12/2015
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