Jonathan Phuong
Jonathan Phuong is a Physical Therapy Assistant in Lake Ridge, Virginia. Licensed in Virginia. Registered with an NPI since 2024.
- Licensed in
- VA
- In the registry since
- 2024
Practice location Address checks out
12825 Minnieville Rd Ste 201Lake Ridge, VA 22192-3602
Phone: (703) 647-3130
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapy Assistant (primary) | Taxonomy 225200000X · Licence 2306605924 (VA) |
|---|
Record details
| NPI number | 1073383600 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | January 4, 2024 |
| Last updated in NPPES | January 4, 2024 |
| Certification date | January 4, 2024 |
| Mailing address | 6654 Rock Island Rd Apt 100, Springfield, VA 22150-1974 |
Other providers in Lake Ridge
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Jennifer Johnson
12825 Minnieville Rd Ste 201, Lake Ridge, VA 22192-3602 · (571) 470-8776
-
Ki Soo Park
12825 Minnieville Rd Ste 201, Lake Ridge, VA 22192 · (703) 647-3130