Individual
PHUONG KIM TANG SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11901 GEORGIA AVE, WHEATON, MD 20902-2001
(301) 942-2500
Mailing address
9915 E LIGHT DR, SILVER SPRING, MD 20903-1902
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A2120
MD
Other
Enumeration date
03/06/2019
Last updated
03/06/2019
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