Individual
THAINAM PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7411 N NEVADA ST, SPOKANE, WA 99208-5518
(206) 251-5390
Mailing address
921 E 31ST AVE, SPOKANE, WA 99203-3107
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
03/13/2018
Last updated
03/13/2018
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