Individual
HARRY PHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2525 BREA BLVD, FULLERTON, CA 92835-2787
(714) 256-1000
Mailing address
2525 BREA BLVD, FULLERTON, CA 92835-2787
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
26395
CA
Other
Enumeration date
07/01/2025
Last updated
07/01/2025
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