Individual
PHUONG DUONG-TUY HOANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC, CSCS
Contact information
Practice address
16 FAULKNER ST APT 2, DORCHESTER, MA 02122-1303
(813) 957-3042
Mailing address
16 FAULKNER ST APT 2, DORCHESTER, MA 02122-1303
(813) 957-3042
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT.0001094
CO
Other
Enumeration date
06/05/2014
Last updated
06/05/2014
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