Hai-Duong T Phan, PT

Individual provider Active NPI Physical Therapist · Newport, NC

NPI 1033377486 · NPPES record last updated May 31, 2008

Key facts

NPI
1033377486
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
9040 (NC)
Practice address
210 Foxhall Rd
Newport, NC 28570-6790
Phone
(252) 223-2560
Fax
(252) 223-6955
NPI assigned
May 31, 2008
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
9040NCMDDentist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 9040 NC Yes

Addresses

Primary practice location

210 Foxhall Rd
Newport, NC 28570-6790

Mailing address

113 Conner Grant Rd
New Bern, NC 28562-9595

Other names

  • Hai-Di T Phan Other name

Other providers in Newport, NC

All providers in Newport, NC · Physical Therapist in North Carolina

Sources for this page

Verify at the official NPI Registry.