Joanna Marie Chan

NPI #1033507058 in Tyler, Texas

Provider Information

NPI Number: 1033507058
Entity Type: Individual
Name: Joanna Marie Chan
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Enumeration Date: Dec 27, 2014
Last Updated: Dec 27, 2014

Practice Location

Address: 5811 PERSIMMON DR
City: Tyler
State: Texas
ZIP Code: 75707-2016
Phone: (903) 253-8318

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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