Kelly Nguyen Phan
Physical Therapist - Pediatrics
233 Orangefair Mall
Fullerton
, California 92832-3038
Kelly Nguyen Phan
Physical Therapist - Pediatrics
233 Orangefair Mall
Fullerton
, California 92832-3038
(714) 870-9038
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About
Features
Specialties
- Physical Therapist - Pediatrics
Languages spoken
- English
Location
First Address
- Kelly Nguyen Phan
- 233 Orangefair Mall
- Fullerton, CA
- Zip : 92832-3038
- Fax : (714) 870-9038
- Phone : (714) 870-6116
Second Address
- Kelly Nguyen Phan
- 233 Orangefair Mall
- Fullerton, CA
- Zip : 92832-3038
- Fax : (714) 870-9038
- Phone : (714) 870-6116
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2251P0200X | Physical Therapist - Pediatrics | 37683 | CA |
National Provider Identifier
| NPI | 1134553381 |
|---|---|
| Provider Name | Kelly Nguyen Phan |
| First Address | Fullerton, CA 92832-3038 |
| Second Address | Fullerton, CA 92832-3038 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/08/2013 |
| Last Update Date | 23/08/2013 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.