Individual
ALLIS PHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT, MS
Contact information
Practice address
100 E 77TH ST, NEW YORK, NY 10075-1850
(212) 434-2000
Mailing address
184 KENT AVE APT D314, BROOKLYN, NY 11249-3171
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
039079
NY
Other
Enumeration date
02/19/2018
Last updated
06/18/2019
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