MRS. Wannaporn Vudhichamnong, P.T.

NPI #1669666384 in San Diego, California

Provider Information

NPI Number: 1669666384
Entity Type: Individual
Name: MRS. Wannaporn Vudhichamnong, P.T.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Developmental Therapist
Credential: P.T.
Enumeration Date: Sep 6, 2007
Last Updated: Sep 6, 2007

Practice Location

Address: 7510 CHARMANT DR APT 727
City: San Diego
State: California
ZIP Code: 92122-5027
Phone: (512) 461-6890

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Developmental Therapist	222Q00000X	Primary

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