Individual
CHARISSA LEE CHABAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
2301 CAMINO RAMON STE 160, SAN RAMON, CA 94583-2031
(925) 355-1900
(925) 355-1903
Mailing address
2301 CAMINO RAMON STE 160, SAN RAMON, CA 94583-2031
(925) 355-1900
(925) 355-1903
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
2446
HI
225100000X
Physical Therapist
Primary
33494
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
560666
—
HI
Enumeration date
09/11/2006
Last updated
11/06/2019
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