Individual
ANDY PHUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
3002 DOW AVE, TUSTIN, CA 92780-7233
(714) 731-4668
Mailing address
3222 ROCKHOLD AVE, ROSEMEAD, CA 91770-2778
(626) 248-0495
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
19632
CA
Other
Enumeration date
10/30/2018
Last updated
10/30/2018
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