Andrew Phetaroun Somphonphakdy
Andrew Phetaroun Somphonphakdy is an Occupational Therapy Assistant in LA Mirada, California. Practices as a sole proprietor. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
13229 Edwards RdLA Mirada, CA 90638-1823
Phone: (562) 587-0978
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Specialties & licences
| Occupational Therapy Assistant (primary) | Taxonomy 224Z00000X |
|---|
Record details
| NPI number | 1225793987 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | November 7, 2021 |
| Last updated in NPPES | November 7, 2021 |
| Certification date | November 7, 2021 |
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