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1003387192
TAI LUONG LA
BROOKLYN, NY
NPI
1003387192
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NY 010442)
Enumeration Date
2018-12-16
Last Update Date
2018-12-16
Business Address
Mr. TAI LUONG LA PTA
6010 BAY PKWY
BROOKLYN, NY 11204-6079
Phone number: 718-283-8962
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Mailing Address
Mr. TAI LUONG LA PTA
6010 BAY PARKWAY
BROOKLYN, NY 11214
Phone number: 718-283-8962
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