Individual
SOUKHITH KHAMHOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1493 CAMBRIDGE ST, CAMBRIDGE, MA 02139-1047
(617) 665-1000
Mailing address
50 STATION LNDG APT 505, MEDFORD, MA 02155-5187
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
10084
MA
Other
Enumeration date
01/16/2026
Last updated
01/16/2026
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