# NATALIE RENE PHONGAM

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1225912348
- **Gender:** F
- **Credential:** DPT, PT

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 13025 | SC | Yes |
| 225100000X | Physical Therapist | 5982 | MS | — |
| 225100000X | Physical Therapist | CP046960T | SC | — |

## Other

- **Enumeration date:** 08/01/2025
- **Last updated:** 08/15/2025