Individual
BRIAN CHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1526 LOMBARD ST, PHILADELPHIA, PA 19146-1625
(215) 772-1592
Mailing address
30 POWELL LN, UPPER DARBY, PA 19082-3319
(267) 357-7149
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT025553
PA
Other
Enumeration date
10/14/2016
Last updated
10/14/2016
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