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Organization
REHAB EXCELLENCE
Active
Organization
REHAB EXCELLENCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANNY SON PHAM PT, PHD (PHYSICAL THERAPIST/OWNER)
(714) 608-1778
Entity
Organization
Contact information
Practice address
9441 SHADWELL DR, HUNTINGTON BEACH, CA 92646-7213
(714) 608-1778
(714) 965-8812
Mailing address
9441 SHADWELL DR, HUNTINGTON BEACH, CA 92646-7213
(714) 608-1778
(714) 965-8812
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 19284
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT 19284
PHYSICAL THERAPY BOARD OF CALIFORNIA
CA
Enumeration date
04/22/2011
Last updated
04/22/2011
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