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Tong Lou Vang, DPT, ATC, CSCS

Physical Therapist in Saint Paul, MN. Individual provider (NPI-1).

NPI number1043685605
StatusActive
Last updated in NPPESDec 8, 2015

Details

NPI
1043685605
Entity type
Individual (NPI-1)
Name
Tong Lou Vang
Credential
DPT, ATC, CSCS
Sex
Male
Sole proprietor
Yes
Enumeration date
Dec 8, 2015
Last updated
Dec 8, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist9987MNYes

Practice location

550 Roselawn Ave E
Saint Paul, MN 55117-2120

Phone 651-774-9765

Mailing address

2409 Hazelwood St
Maplewood, MN 55109-2048

Phone 651-325-8324

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