Individual
IA VANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
677 COURT ST, KEENE, NH 03431-1702
(603) 357-3800
Mailing address
159 N SHELLY AVE, FRESNO, CA 93727-3651
(720) 471-3090
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2042
NH
225200000X
Physical Therapy Assistant
53324
CA
Other
Enumeration date
09/06/2024
Last updated
08/15/2026
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