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Individual

KEVIN VAN LUONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT, DPT

Contact information

Practice address
1712 STUMPF BLVD, TERRYTOWN, LA 70056-3923
(504) 365-1020
(504) 365-1080
Mailing address
1712 STUMPF BLVD, TERRYTOWN, LA 70056-3923
(504) 365-1020
(504) 365-1080

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11442R
LA
225100000X
Physical Therapist
PTH9205
AL

Other

Enumeration date
11/12/2018
Last updated
03/22/2023
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