Individual
KIN WAI CHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1807 S 10TH ST, PHILADELPHIA, PA 19148-1605
(267) 515-8270
Mailing address
1807 S 10TH ST, PHILADELPHIA, PA 19148-1605
(267) 515-8270
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MSG014246
PA
Other
Enumeration date
06/15/2023
Last updated
06/15/2023
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