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Individual
MICHAEL NAM
Active
Individual
MICHAEL NAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
310158
CA
225100000X
Physical Therapist
Primary
—
CO
2255A2300X
Athletic Trainer
22
CA
Other
Enumeration date
05/21/2018
Last updated
06/16/2026
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