Individual
DR. BRENDON CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
4450 HUGH HOWELL RD STE 17, TUCKER, GA 30084-4726
(770) 939-0998
Mailing address
501 SUMMIT POINTE WAY NE, ATLANTA, GA 30329-4034
(917) 837-9212
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT016078
GA
Other
Enumeration date
08/24/2022
Last updated
08/24/2022
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