Individual
JOANNE PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1660 S ORTONVILLE RD, ORTONVILLE, MI 48462-8819
(248) 627-4084
Mailing address
1114 PELHAM BLVD, WATERFORD, MI 48328-4264
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201002361
MI
Other
Enumeration date
04/29/2009
Last updated
10/18/2018
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