Individual
HAN PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8839 BRYAN DAIRY RD STE 240B, SEMINOLE, FL 33777-1203
(813) 978-9700
Mailing address
5901 E FOWLER AVE STE 100, TEMPLE TERRACE, FL 33617-2305
(813) 978-9700
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA34913
FL
Other
Enumeration date
08/06/2026
Last updated
08/06/2026
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