Individual
MRS. BICH-HANH PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, SLP-CCC, OTR-L
Contact information
Practice address
3150 ALMADEN EXPY, SUITE 235, SAN JOSE, CA 95118-1200
(408) 332-0259
Mailing address
3150 ALMADEN EXPY, SUITE 235, SAN JOSE, CA 95118-1200
(408) 332-0259
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
OT3036
CA
235Z00000X
Speech-Language Pathologist
Primary
SP11287
CA
Other
Enumeration date
01/07/2010
Last updated
03/11/2015
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