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Individual
KYLE LUONG
Active
Individual
KYLE LUONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT42749
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT42749
CA PT LICENSE
CA
Enumeration date
09/26/2016
Last updated
03/15/2022
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