| Doctor Name: | TONG LOU VANG |
| NPI Number: | 1043685605 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DPT, ATC, CSCS |
| License Number: | 9987 |
| Business Practice Address: | 550 Roselawn Ave E Saint Paul, MN - 551172120 |
| Business Phone Number: | 6517749765 |
| Business Fax Number: | |
| Mailing Address: | 2409 Hazelwood St, MAPLEWOOD |
| State: | MN |
| Postal Code: | 551092048 |
| Phone Number: | 6513258324 |
| Fax Number: | |
| NPI Enumeration Date: | 12/08/2015 |
| NPI Last Update Date: | 12/08/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 9987 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |