Individual
MR. KWANG S HAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
8320 OLD COURTHOUSE RD, SUITE 401, VIENNA, VA 22182-3831
(703) 810-5214
(703) 810-5409
Mailing address
8320 OLD COURTHOUSE RD, SUITE 401, VIENNA, VA 22182-3831
(703) 810-5214
(703) 810-5409
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305203449
VA
225100000X
Physical Therapist
DC871116
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
184961
ANTHEM BCBS
VA
01
—
716792
NCPPO
VA
Enumeration date
11/30/2006
Last updated
11/02/2014
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