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Individual

JUSTINE CHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1400 FORDHAM DR, VIRGINIA BEACH, VA 23464-5368
(757) 361-3951
Mailing address
330 GREENS EDGE DR, CHESAPEAKE, VA 23322-8078
(757) 618-8111

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
011-007268
VA

Other

Enumeration date
04/11/2017
Last updated
04/11/2017
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