Individual
JOUAN VANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
39 QUEEN ST # 2433, WORCESTER, MA 01610-2433
(508) 753-4791
Mailing address
128 ALBEE ST, FITCHBURG, MA 01420-6404
(978) 868-7739
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
10041
MA
Other
Enumeration date
09/28/2022
Last updated
09/28/2022
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