Individual
DERRICK CHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
100 EXCELA HEALTH DR # 101, LATROBE, PA 15650-9001
(724) 537-1266
(724) 537-6889
Mailing address
106 GREEN MEADOW LN, MT PLEASANT, PA 15666-9058
(281) 723-0537
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT029339
PA
Other
Enumeration date
12/03/2021
Last updated
12/03/2021
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