Individual
MS. GINA CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
300 LABORATORY RD, OAK RIDEGE, TN 37830
(865) 482-7698
Mailing address
2636 CLOUDSVIEW DR, SEVIERVILLE, TN 37862
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3575
TN
Other
Enumeration date
10/22/2014
Last updated
10/22/2014
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