Doctor Name: | MR. DOUGLAS KENDRICK CHAN |
NPI Number: | 1376616268 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | 2305006554 |
Business Practice Address: | 3767 Fettler Park Drive Dumfries, VA - 22025 |
Business Phone Number: | 7037306400 |
Business Fax Number: | |
Mailing Address: | 4328 Tarpon Ln, ALEXANDRIA |
State: | VA |
Postal Code: | 223093135 |
Phone Number: | 7037800188 |
Fax Number: | |
NPI Enumeration Date: | 11/16/2006 |
NPI Last Update Date: | 06/02/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 2305006554 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |