Individual
ELIZA PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, ATC
Contact information
Practice address
134 SPORTS CAMP DR, WOODWARD, PA 16882-8422
(814) 349-5633
Mailing address
134 SPORTS CAMP DR, WOODWARD, PA 16882-8422
(814) 349-5633
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
RT005159
PA
Other
Enumeration date
10/04/2016
Last updated
10/04/2016
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