Tra My Phan

NPI #1114462322 in Milpitas, California

Provider Information

NPI Number: 1114462322
Entity Type: Individual
Name: Tra My Phan
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Occupational Therapist
Enumeration Date: Dec 23, 2016
Last Updated: Dec 23, 2016

Practice Location

Address: 218 EVENING STAR CT
City: Milpitas
State: California
ZIP Code: 95035-6212
Phone: (408) 712-6900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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