Individual
VIEN NHU PHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
20930 DUPONT BLVD UNIT 102, GEORGETOWN, DE 19947-1723
(919) 258-2714
(410) 648-4878
Mailing address
350 NEW FIDELITY CT, GARNER, NC 27529-2665
(919) 258-2714
(410) 648-4878
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
U1-0012275
DE
Other
Enumeration date
05/07/2021
Last updated
12/21/2021
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