Individual
EVELYN CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2040 NE 49TH ST, FORT LAUDERDALE, FL 33308-4524
(954) 909-9065
Mailing address
2040 NE 49TH ST, FORT LAUDERDALE, FL 33308-4524
(954) 909-9065
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
MA65852
FL
Other
Enumeration date
11/14/2014
Last updated
11/14/2014
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