Individual
CHAU PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
3336 E CHANDLER HEIGHTS RD STE 126, GILBERT, AZ 85298
(480) 840-6125
(480) 840-6122
Mailing address
230 E CIVIC CENTER DR APT 1019, GILBERT, AZ 85296-0010
(310) 430-9791
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT27275
CA
2251X0800X
Orthopedic Physical Therapist
Primary
LPT30026
AZ
Other
Enumeration date
12/13/2005
Last updated
06/20/2018
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