Individual
TONY PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
12501 SEAL BEACH BLVD STE 210, SEAL BEACH, CA 90740-2755
(562) 493-8800
Mailing address
10282 PARK AVE APT B, GARDEN GROVE, CA 92840-6369
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
297692
CA
Other
Enumeration date
11/14/2019
Last updated
11/14/2019
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