Individual
AMANDA PHUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
14302 WINTERVIEW PKWY, MIDLOTHIAN, VA 23113-4386
(804) 601-6010
Mailing address
PO BOX 412307, BOSTON, MA 02241-2307
(914) 294-4050
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
2305216485
VA
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
05/24/2024
Last updated
06/04/2024
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