Individual
CARMEN CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
3161 KENNEDY BLVD, NORTH BERGEN, NJ 07047-2303
(201) 867-3585
Mailing address
200 NORTHPOINTE CIR STE 302, SEVEN FIELDS, PA 16046-7861
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00591900
NJ
Other
Enumeration date
08/29/2012
Last updated
08/29/2012
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