Individual
CHELSEA FAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT, CSCS
Contact information
Practice address
12121 WILSHIRE BLVD STE 100, LOS ANGELES, CA 90025-1221
(310) 477-7774
Mailing address
12121 WILSHIRE BLVD STE 100, LOS ANGELES, CA 90025-1221
(310) 477-7774
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
296930
CA
Other
Enumeration date
08/02/2019
Last updated
08/02/2019
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