Individual
PHU AN PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6940 OLIVE BLVD, SAINT LOUIS, MO 63130-2544
(314) 781-0679
Mailing address
2122 YORK RD STE 300, OAK BROOK, IL 60523-1925
(630) 575-1980
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2025017931
MO
Other
Enumeration date
05/22/2025
Last updated
05/27/2025
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