Individual
VUNG FOO X
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1428 HICKORY VIEW CIR, PARRISH, FL 34219-2792
(941) 479-4556
Mailing address
1428 HICKORY VIEW CIR, PARRISH, FL 34219-2792
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA14576
FL
Other
Enumeration date
04/14/2017
Last updated
04/14/2017
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