Individual
KEITH MING CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
241 CONDO LN APT 602, TAMUNING, GU 96913-3144
(671) 864-4778
Mailing address
241 CONDO LN APT 602, TAMUNING, GU 96913-3144
(671) 864-4778
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
120
GU
225100000X
Physical Therapist
35320
CA
225100000X
Physical Therapist
3952
HI
Other
Enumeration date
01/22/2009
Last updated
07/27/2016
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