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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LOAN PHAM

Active Sole Proprietor

LOAN PHAM is a Occupational Therapy Assistant healthcare provider located in FULTON, Texas. NPI 1134719909 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapy Assistant · FULTON, TX

Registration Details

NPI Number
1134719909
Provider Type
Individual
Gender
Female
NPI Issued
Jan 25, 2021 (5.5560632296257 yrs)
Last Updated
Jan 25, 2021
License
214478 (TX)
Sole Proprietor
Yes

Practice Information

Address
316 N 11TH ST
FULTON, TX, 78358
Browse TX providers · Browse ZIP 78358
Phone
7133035678
Primary Specialty
Occupational Therapy Assistant
224Z00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.