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Individual

ANDREW PHONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPT, PT

Contact information

Practice address
421 MILLER AVE, MILL VALLEY, CA 94941-2903
(415) 388-8166
Mailing address
551 LAKEVIEW AVE, SAN FRANCISCO, CA 94112-2341
(415) 806-5028

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary

Other

Enumeration date
10/24/2022
Last updated
10/24/2022
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