SY LABTHAVIKUL

PORTLAND, OR
NPI1346002250
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: OR  9796)
Enumeration Date2024-01-25
Last Update Date2024-01-25
Business Address
Mr. SY LABTHAVIKUL PTA
10915 SE STARK ST
PORTLAND, OR 97216-3348
Phone number: 503-261-1120
Mailing Address
Mr. SY LABTHAVIKUL PTA
412 SE 30TH PL
PORTLAND, OR 97214-1921
Phone number: 845-598-7495
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