Jackie Fan
NPI #1326791815 in La Palma, California
Provider Information
- NPI Number
- 1326791815
- Entity Type
- Individual
- Name
- Jackie Fan
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Therapist
- Enumeration Date
- Feb 3, 2022
- Last Updated
- Jun 3, 2023
Practice Location
- Address
- 7901 WALKER ST
- City
- La Palma
- State
- California
- ZIP Code
- 90623-1722
- Phone
- (714) 670-6000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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