Individual
MR. CHARLIE THANG TRUONG
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
RPT, ATC
Contact information
Practice address
14571 MAGNOLIA ST, SUITE 201, WESTMINSTER, CA 92683-5574
(714) 891-5453
(714) 891-5346
Mailing address
10808 CHURCHILL PL, TUSTIN, CA 92782-1347
(714) 891-5453
(714) 891-5346
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT25387
CA
Other
Enumeration date
04/04/2006
Last updated
07/08/2007
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