NPI 1174138804
Mychelle Phan, PTDPTOCS
Practice location
- Address
- 35th Medical Group, Apo, AP 96319
- Phone
- (315) 226-6835
- Mailing address
- Unit 2060, Apo, AP 96278-2060
Registered specialties
Physical Therapist
Primary
Registry record
- NPI
- 1174138804
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 10 Sep 2020
- Record last updated
- 27 Mar 2026
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.