Individual
BRIAN PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
505 PARNASSUS AVE, SAN FRANCISCO, CA 94143-2204
(415) 476-1000
Mailing address
4560 SE INTERNATIONAL WAY STE 100, MILWAUKIE, OR 97222-4628
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
19843
CA
Other
Enumeration date
04/18/2019
Last updated
02/27/2021
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