Individual
KHANH LUONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AS PT (PTA)
Contact information
Practice address
1560 LELAND ST, BEAUMONT, CA 92223-3118
(909) 222-2851
Mailing address
1560 LELAND ST, BEAUMONT, CA 92223-3118
(909) 222-2851
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
10/11/2021
Last updated
10/11/2021
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