Tom Long Hoang Phan, DPT PT
NPI #1114455458 in St Augustine, Florida
Provider Information
- NPI Number
- 1114455458
- Entity Type
- Individual
- Name
- Tom Long Hoang Phan, DPT PT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapist
- Credential
- DPT PT
- Enumeration Date
- May 31, 2017
- Last Updated
- Jul 21, 2022
Practice Location
- Address
- 1 UNIVERSITY BLVD
- City
- St Augustine
- State
- Florida
- ZIP Code
- 32086-5799
- Phone
- (904) 829-3411
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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