Individual
ALAN PHU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
129 W WILSON ST STE 202, COSTA MESA, CA 92627-1586
(949) 631-0125
Mailing address
16981 MOUNT EDEN ST, FOUNTAIN VALLEY, CA 92708-2519
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT304903
CA
Other
Enumeration date
12/11/2023
Last updated
12/11/2023
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