Individual
VI PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2011 BROADWAY ST STE 130, PEARLAND, TX 77581-5945
(281) 997-8509
Mailing address
2300 W ALABAMA ST APT 55, HOUSTON, TX 77098-2252
(832) 409-9254
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
2251P0200X
Pediatric Physical Therapist
Primary
—
—
Other
Enumeration date
10/11/2018
Last updated
10/11/2018
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