Individual
YVETTE PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1649 E 72ND ST, TACOMA, WA 98404-5402
(253) 472-9027
Mailing address
4560 SE INTERNATIONAL WAY STE 100, MILWAUKIE, OR 97222-4628
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
60822577
WA
Other
Enumeration date
08/27/2018
Last updated
08/27/2018
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