TRUNG TAN PHAM

ELK GROVE, CA
NPI1427456615
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: CA  PT26845)
Enumeration Date2014-12-20
Last Update Date2014-12-20
Business Address
-- TRUNG TAN PHAM
8257 HOPEWELL DR
ELK GROVE, CA 95757-6287
Phone number: 916-686-6802
Mailing Address
-- TRUNG TAN PHAM
8257 HOPEWELL DR
ELK GROVE, CA 95757-6287
Phone number: 916-686-6802