Individual
MINH PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
10260 MAIN ST, FAIRFAX, VA 22030-2404
(571) 279-6844
Mailing address
6463 FRENCHMENS DR, ALEXANDRIA, VA 22312-1657
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
2305213549
VA
Other
Enumeration date
07/06/2020
Last updated
07/06/2020
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