Individual
ANTHONY PHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
600 S CHURTON ST, APT 17, HILLSBOROUGH, NC 27278-2619
(813) 546-5709
Mailing address
600 S CHURTON ST, APT 17, HILLSBOROUGH, NC 27278-2619
(813) 546-5709
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
P16310
NC
Other
Enumeration date
06/06/2016
Last updated
06/06/2016
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