| Nicole Kieu Khanh Pham, OTR | |
|
317 Timberleaf Dr, Grand Prairie, TX 75052-6619 | |
| (214) 770-2842 | |
| Not Available |
| Full Name | Nicole Kieu Khanh Pham |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 317 Timberleaf Dr, Grand Prairie, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932960895 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | (* (Not Available)) | Primary |
| Provider Name | Santhi Pt Consultants |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1962987412 PECOS PAC ID: 5890049126 Enrollment ID: O20181126001528 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Kieu Khanh Pham, OTR 317 Timberleaf Dr, Grand Prairie, TX 75052-6619 Ph: (214) 770-2842 | Nicole Kieu Khanh Pham, OTR 317 Timberleaf Dr, Grand Prairie, TX 75052-6619 Ph: (214) 770-2842 |
Marsha G Trietsch, COTA Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 820 Small St, Grand Prairie, TX 75050 Phone: 972-262-1351 | |
Marcie Campbell, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1906 Surrey Cir, Grand Prairie, TX 75050 Phone: 817-437-5876 Fax: 817-665-9197 | |
George Minges Lyman, MOT,OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 512 Joy Dianne Dr, Grand Prairie, TX 75052 Phone: 214-986-6673 | |
Tamara Penny, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1304 E Coral Way, Grand Prairie, TX 75051 Phone: 972-237-4000 | |
Stephen A Koger, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1601 W Marshall Dr, Grand Prairie, TX 75051 Phone: 972-946-4400 | |
Deepa Moses, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 820 Small St, Grand Prairie, TX 75050 Phone: 972-262-1351 | |
Cynthia Kidd, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1901 N Hwy 360 Ste 410, Grand Prairie, TX 75050 Phone: 817-652-2924 |