Jackie Fan
Jackie Fan is a Physical Therapist in LA Palma, California. Practices as a sole proprietor. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2022
Practice location Address checks out
7901 Walker StLA Palma, CA 90623-1722
Phone: (714) 670-6000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapist (primary) | Taxonomy 225100000X · Licence 301637 (CA) |
|---|
Record details
| NPI number | 1326791815 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | February 3, 2022 |
| Last updated in NPPES | June 3, 2023 |
| Certification date | June 3, 2023 |
| Mailing address | 7901 Walker St, La Palma, CA 90623-1722 |
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