Individual
PHILIP HA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1105 E KATELLA AVE UNIT 428, ANAHEIM, CA 92805-8711
(626) 215-9715
Mailing address
1105 E KATELLA AVE UNIT 428, ANAHEIM, CA 92805-8711
(626) 215-9715
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
52599
CA
Other
Enumeration date
08/10/2023
Last updated
08/10/2023
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