Individual
KEVIN DAT VAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
875 MANSELL RD STE H, ROSWELL, GA 30076-4800
(678) 821-2170
Mailing address
875 MANSELL RD STE H, ROSWELL, GA 30076-4800
(678) 821-2170
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
2305217444
VA
225100000X
Physical Therapist
Primary
CP050485T
GA
Other
Enumeration date
10/21/2025
Last updated
11/03/2025
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