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NPI Code Detail

MEDICARE: DR. ELLEN LAM PT, DPT

MEDICARE:  DR. ELLEN  LAM  PT,  DPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist

General Provider Information

NPI Number : 1518703826
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ELLEN LAM PT, DPT
Provider Business Mailing Address
First Line : 2600 DALLAS PKWY STE 290
Second Line :
City : FRISCO
State : TX
Zip : 75034-7493
Country : US
Telephone Number : 945-260-0010
Fax Number :
Provider Business Practice Location Address
First Line : 3097 MOORPARK AVE STE 100&102
Second Line :
City : SAN JOSE
State : CA
Zip : 95128-2543
Country : US
Telephone Number : 669-247-6170
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/05/2024
Last Update Date : 01/29/2026

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Directions to “ DR. ELLEN LAM PT, DPT” Practice Location

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