Individual
PHALLY KUONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
52 B ST APT 2, LOWELL, MA 01851-4218
(978) 996-2357
Mailing address
52 B ST APT 2, LOWELL, MA 01851-4218
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
8176
MA
Other
Enumeration date
07/03/2008
Last updated
07/03/2008
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