Individual
DR. AMANDA CHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
11150 W OLYMPIC BLVD STE 1050 #562, LOS ANGELES, CA 90064-1850
(310) 774-4665
Mailing address
11150 W OLYMPIC BLVD STE 1050 #562, LOS ANGELES, CA 90064-1850
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT304770
CA
Other
Enumeration date
01/22/2024
Last updated
01/25/2024
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