Individual provider · Type 1 NPI

Kelly Nguyen Phan, DPT

Pediatric Physical Therapist · Fullerton, CA

NPI number 1134553381 Active

Practice location

233 Orangefair Mall
Fullerton, CA 92832-3038

Call (714) 870-6116 Map

Fax (714) 870-9038

Specialties and licenses

TaxonomyCodeLicense
Pediatric Physical Therapist Primary 2251P0200X37683 (CA)

Pediatric Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical th…

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About NPI 1134553381

Kelly Nguyen Phan, DPT's National Provider Identifier is 1134553381, issued on Aug 23, 2013. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in Fullerton, CA. The record was last updated on Aug 23, 2013.