Individual
SOPHIA W CHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO, DPT, L.AC., ATC
Contact information
Practice address
640 CONCORD AVE, CAMBRIDGE, MA 02138-1116
(872) 231-3162
Mailing address
PO BOX 22239, NEW YORK, NY 10087-0001
(702) 899-0595
(702) 977-1496
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
1014649
MA
225100000X
Physical Therapist
18810
MA
Other
Enumeration date
09/17/2009
Last updated
11/12/2025
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