Individual
CHERRY ROSE A CHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
390 CRYSTAL RUN RD, SUITE 104, MIDDLETOWN, NY 10941-4050
(845) 703-3050
Mailing address
644 SILVERLAKE SCOTCHTOWN ROAD, APT 6E, MIDDLETOWN, NY 10941
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
032632
NY
Other
Enumeration date
07/28/2011
Last updated
07/28/2011
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