Individual
ANNE PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L, MSOT
Contact information
Practice address
366 N HOLLY ST, CANBY, OR 97013-3739
(503) 908-6120
(971) 244-9044
Mailing address
PO BOX 946, CANBY, OR 97013-0946
(503) 908-6120
(971) 244-9044
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
120658
TX
Other
Enumeration date
03/12/2020
Last updated
07/16/2024
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