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Individual

AMY T VUONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT, DPT

Contact information

Practice address
14150 CULVER DR, 103, IRVINE, CA 92604-0315
(949) 857-1888
(949) 857-4536
Mailing address
15550 ROCKFIELD BLVD, B220, IRVINE, CA 92618-2720
(949) 598-9999
(949) 598-9990

Taxonomy

Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT29925
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PT29925
PT LICENSE
CA
Enumeration date
02/27/2007
Last updated
01/03/2011
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