Khanh Luong, AS PT (PTA)
NPI #1366104028 in Beaumont, California
Provider Information
- NPI Number
- 1366104028
- Entity Type
- Individual
- Name
- Khanh Luong, AS PT (PTA)
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Therapy Assistant
- Credential
- AS PT (PTA)
- Enumeration Date
- Oct 11, 2021
- Last Updated
- Oct 11, 2021
Practice Location
- Address
- 1560 LELAND ST
- City
- Beaumont
- State
- California
- ZIP Code
- 92223-3118
- Phone
- (909) 222-2851
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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