Individual
DR. CHRISTIAN IAN LACSON EMPENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
2580 PRUDEN BLVD, SUFFOLK, VA 23434-4229
(757) 934-2363
Mailing address
484 PAINTER ST APT D, NORFOLK, VA 23505-4511
(540) 219-2501
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
09/17/2019
Last updated
09/17/2019
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