Individual
CONNIE CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
2820 W ARMITAGE AVE STE 1, CHICAGO, IL 60647-6318
(773) 394-0796
(773) 394-3342
Mailing address
6030 MARTIN LUTHER KING JR WAY, OAKLAND, CA 94609-1410
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070-026568
IL
225100000X
Physical Therapist
297517
CA
Other
Enumeration date
11/05/2019
Last updated
05/19/2022
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