IndividualActive
Loan Pham
NPI 1134719909 · Occupational Therapy Assistant · Fulton, TX
Provider details
- NPI number
- 1134719909
- Entity type
- Individual
- Primary specialty
- Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 214478 (TX)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
316 N 11th St
Fulton, TX 78358
Phone: (713) 303-5678
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1554
Fulton, TX 78358-1554
Registry dates
- Enumerated
- 2021-01-25
- Last updated
- 2021-01-25
- Certified
- 2021-01-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.