PHONG NGUYEN

BOILING SPRINGS, SC
NPI1255055455
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: SC  11559)
Additional Taxonomies225100000X Physical Therapist
Enumeration Date2022-09-30
Last Update Date2024-08-06
Business Address
PHONG NGUYEN DPT
2646 BOILING SPRINGS RD
BOILING SPRINGS, SC 29316-6002
Phone number: 864-345-6714
Mailing Address
PHONG NGUYEN DPT
790 REMINGTON BLVD
BOLINGBROOK, IL 60440-4909
Phone number: 866-370-8206