Individual
JUSTIN K CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2211 W MAGNOLIA BLVD # 295, BURBANK, CA 91506-1753
(818) 955-8303
Mailing address
15576 TETLEY ST, HACIENDA HEIGHTS, CA 91745-4502
(626) 695-5812
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
464040
CA
Other
Enumeration date
02/25/2022
Last updated
02/25/2022
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