Individual
CHARIS CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
975 SERENO DR, VALLEJO, CA 94589-2441
(707) 651-1000
Mailing address
860 31ST ST, RICHMOND, CA 94804-1328
(510) 299-7144
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
24243
CA
Other
Enumeration date
12/15/2022
Last updated
12/15/2022
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