Individual
ANGELICA PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4466 BUSH CIR, FREMONT, CA 94538-5991
(510) 676-8890
Mailing address
4466 BUSH CIR, FREMONT, CA 94538-5991
(510) 676-8890
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
15247
CA
Other
Enumeration date
05/02/2015
Last updated
05/02/2015
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