Individual
MS. ANH NGOC PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9228 ODYSSEY CIR, ELK GROVE, CA 95624-4726
(408) 655-4841
Mailing address
9228 ODYSSEY CIR, ELK GROVE, CA 95624-4726
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
17254
CA
Other
Enumeration date
04/15/2022
Last updated
10/17/2023
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