Individual
MO THI PHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
916 PACIFIC AVE FL 36, EVERETT, WA 98201-4147
(425) 551-6308
Mailing address
6019 BAYVIEW DR, MUKILTEO, WA 98275-5573
(425) 367-2112
Taxonomy
Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
Primary
OT00001599
WA
Other
Enumeration date
07/25/2019
Last updated
07/25/2019
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