Individual
MR. DOUGLAS KENDRICK CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
3767 FETTLER PARK DRIVE, DUMFRIES, VA 22025
(703) 730-6400
Mailing address
4328 TARPON LN, ALEXANDRIA, VA 22309-3135
(703) 780-0188
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305006554
VA
Other
Enumeration date
11/16/2006
Last updated
06/02/2016
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