Ky Viet Phan, PTA
NPI #1013146661 in Baton Rouge, Louisiana
Provider Information
- NPI Number
- 1013146661
- Entity Type
- Individual
- Name
- Ky Viet Phan, PTA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Therapy Assistant
- Credential
- PTA
- Enumeration Date
- Jul 3, 2009
- Last Updated
- Jul 3, 2009
Practice Location
- Address
- 5432 SPRINGWATER DR
- City
- Baton Rouge
- State
- Louisiana
- ZIP Code
- 70817-2457
- Phone
- (228) 238-9200
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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