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MR. JOHNMER MANANDEG CHAN PT

>> Physical Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1609164599

Individual Registrant:
MR. JOHNMER MANANDEG CHAN PT
Gender: M
Not Sole Proprietor

Location and contact information for practice:
3825 ADRIATIC WAY  SAN BRUNO, CA 94066-4552 US
Tel: 650-355-0226  Fax: --

Contact information for business:
3825 ADRIATIC WAY  SAN BRUNO, CA 94066-4552 US
Tel: 650-355-0226  Fax: --

Registration Information:
NPI: 1609164599
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist
CAPT 37300

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
PT LICENSEPT 37300CA01




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