BENJA VONGTONGDEE

SAN FERNANDO, CA
NPI1215603543
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: CA  49857)
Enumeration Date2021-08-17
Last Update Date2021-08-17
Business Address
BENJA VONGTONGDEE PTA
1240 TRUMAN ST
SAN FERNANDO, CA 91340-3203
Phone number: 818-403-6559
Mailing Address
BENJA VONGTONGDEE PTA
25115 AVENUE STANFORD STE B135
VALENCIA, CA 91355-1290
Phone number: 661-250-9940
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