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ALVIN J LAN

Individual Provider (NPI-1) Active

Physical Therapist

Provider Information

NPI Number
1174151385
Provider Type
Individual Provider (NPI-1)
Status
Active

Contact & Location

Address
120 ELZORA ST, MILTON FREEWATER, OR, 978629454
Phone
(469) 524-5563

Specialties & Taxonomies

Physical Medicine & Rehabilitation License: MO #2019026215
Physical Medicine & Rehabilitation License: OR #CP000390T
Physical Therapist Primary License: OR #63890

All Addresses

LOCATION

120 ELZORA ST

MILTON FREEWATER, OR, 978629454

(469) 524-5563

MAILING

1270 STRASSNER DR UNIT 3307

BRENTWOOD, MO, 631441887

(314) 662-6505