TRUNG TIN PHAN

SUWANEE, GA
NPI1093446221
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: GA  PT015913)
Enumeration Date2022-06-20
Last Update Date2022-06-20
Business Address
TRUNG TIN PHAN
4310 JOHNS CREEK PKWY STE 130
SUWANEE, GA 30024-6092
Phone number: 770-738-9657
Mailing Address
TRUNG TIN PHAN
2381 EASTWAY RD
DECATUR, GA 30033-5543
Phone number: 916-719-1709
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