Individual
MR. LOUIE ANTON ANG ENTIENZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPT
Contact information
Practice address
7301 PEAK DR STE 101, LAS VEGAS, NV 89128-9038
(702) 940-3000
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(224) 433-3585
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
044018
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
044018
—
NY
Enumeration date
02/14/2019
Last updated
03/25/2024
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