Individual
AMANDA PHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3522 ROSINCRESS DR, SAN RAMON, CA 94582-5077
(925) 808-8534
Mailing address
3522 ROSINCRESS DR, SAN RAMON, CA 94582-5077
(925) 808-8534
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
09/29/2023
Last updated
10/01/2023
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