Doctor Name: | VINH QUOC CHUNG |
NPI Number: | 1245514926 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPT |
License Number: | PT60220972 |
Business Practice Address: | 2964 Limited Ln Nw Ste A Olympia, WA - 985024577 |
Business Phone Number: | 3607047276 |
Business Fax Number: | 3607047277 |
Mailing Address: | 4200 6th Ave Se Ste 203, LACEY |
State: | WA |
Postal Code: | 985031042 |
Phone Number: | 3604554448 |
Fax Number: | 3604559833 |
NPI Enumeration Date: | 09/29/2011 |
NPI Last Update Date: | 10/10/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT60220972 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
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 |