| NPI | 1366708158 |
|---|---|
| Professional Name | DONNIE VAN PHAN |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 9641) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1235831) |
| Enumeration Date | 2012-04-05 |
| Last Update Date | 2014-07-23 |