Individual
TINA THI PHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
4220 KATELLA AVE, LOS ALAMITOS, CA 90720-3511
(562) 342-9994
Mailing address
4220 KATELLA AVE, LOS ALAMITOS, CA 90720-3511
(562) 342-9994
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
49360
CA
Other
Enumeration date
06/21/2018
Last updated
06/21/2018
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