Individual provider · Type 1 NPI

Kimmy Phan

Occupational Therapist · Garden Grove, CA

NPI number 1043843816 Active

Practice location

11911 West St
Garden Grove, CA 92840-2552

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X19050 (CA)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1043843816

Kimmy Phan's National Provider Identifier is 1043843816, issued on Feb 19, 2020. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Garden Grove, CA. The record was last updated on Nov 1, 2021.