Provider / Organization | NPI | Date Certified |
---|---|---|
SADIE PHAN | 1558980839 | 2022-12-04 |
Sadie Phan is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1558980839. Registration indicates Sadie Phan is a provider of services with a specialization in Respiratory, Developmental, Rehabilitative and Restorative Service Providers, Occupational Therapist (Occupational Therapist, ) (Speech/Occupational/Physical Therapy/Chiropractor, ) (Occupational Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers)
Entity Type | Individual |
Provider Name | Sadie Phan MS, OTR/L |
Practice Office Address | 751 S BASCOM AVE SAN JOSE, CA US |
Practice Office Telephone | 4088855000 |
Mailing Address | 751 S BASCOM AVE SAN JOSE, CA 951282604 US |
Business Telephone | 4088855000 |
Code | Practice | License No State |
---|---|---|
225X00000X PRIMARY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Occupational Therapist Occupational Therapist Speech/Occupational/Physical Therapy/Chiropractor Occupational Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers | 19776
CA |