Individual
HUY PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
5123 JUAN TABO BLVD NE, ALBUQUERQUE, NM 87111-2672
(505) 292-3333
Mailing address
1801 SMARTY JONES ST SE, ALBUQUERQUE, NM 87123-2398
(505) 615-3157
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA1612
NM
Other
Enumeration date
08/22/2019
Last updated
08/22/2019
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