Individual provider · Type 1 NPI
Jaclyn Chan, DPT
Pediatric Physical Therapist · Woodland Hills, CA
Practice location
20501 Ventura Blvd Ste 380
Woodland Hills, CA 91364-6432
Mailing address
1525 Amherst Ave Apt 202
Los Angeles, CA 90025-3647
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Physical Therapist Primary | 2251P0200X | 291081 (CA) |
Pediatric Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical th…
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About NPI 1023507316
Jaclyn Chan, DPT's National Provider Identifier is 1023507316, issued on May 2, 2018. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in Woodland Hills, CA. The record was last updated on May 2, 2018.