Individual
LOAN LUONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
901 ENTERPRISE PKWY STE 900, HAMPTON, VA 23666-6250
(757) 827-2480
(757) 299-9917
Mailing address
901 ENTERPRISE PKWY STE 900, HAMPTON, VA 23666-6250
(757) 827-2480
(757) 299-9917
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305203127
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2305203127
VA PT LICENSE
VA
Enumeration date
08/19/2022
Last updated
08/19/2022
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