Andrew Phetaroun Somphonphakdy
NPI #1225793987 in La Mirada, California
Provider Information
- NPI Number
- 1225793987
- Entity Type
- Individual
- Name
- Andrew Phetaroun Somphonphakdy
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Occupational Therapy Assistant
- Enumeration Date
- Nov 7, 2021
- Last Updated
- Nov 7, 2021
Practice Location
- Address
- 13229 EDWARDS RD
- City
- La Mirada
- State
- California
- ZIP Code
- 90638-1823
- Phone
- (562) 587-0978
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapy Assistant |
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