Trung Tin Phan

NPI #1093446221 in Suwanee, Georgia

Provider Information

NPI Number: 1093446221
Entity Type: Individual
Name: Trung Tin Phan
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Enumeration Date: Jun 20, 2022
Last Updated: Jun 20, 2022

Practice Location

Address: 4310 JOHNS CREEK PKWY STE 130
City: Suwanee
State: Georgia
ZIP Code: 30024-6092
Phone: (770) 738-9657

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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