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Individual
LAURA FANG
Active
Individual
LAURA FANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
P20981
NC
225100000X
Physical Therapist
PT-4631
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
99-0353213
UHA
HI
Enumeration date
09/11/2018
Last updated
07/10/2026
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