Doctor Name: | MISS TRAM BICH CAO |
NPI Number: | 1164786711 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | |
Business Practice Address: | 2111 Riverwalk Dr Moore, OK - 731602700 |
Business Phone Number: | 4057937885 |
Business Fax Number: | |
Mailing Address: | 10024 Sw 36th St, YUKON |
State: | OK |
Postal Code: | 730990421 |
Phone Number: | 4053013416 |
Fax Number: | |
NPI Enumeration Date: | 06/28/2012 |
NPI Last Update Date: | 06/28/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251G0304X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Geriatrics |
Taxonomy Definition: |