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NPI Code Detail

MEDICARE: BRIAN CHAN OTD, OTR/L

MEDICARE: BRIAN CHAN OTD, OTR/L
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist0119008247VA

General Provider Information

NPI Number : 1659985562
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRIAN CHAN OTD, OTR/L
Provider Business Mailing Address
First Line : 2000 WILKES RIDGE DR
Second Line :
City : RICHMOND
State : VA
Zip : 23233-7632
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2000 WILKES RIDGE DR
Second Line :
City : RICHMOND
State : VA
Zip : 23233-7632
Country : US
Telephone Number : 804-584-5830
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/08/2020
Last Update Date : 09/14/2023

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Directions to “ BRIAN CHAN OTD, OTR/L” Practice Location

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