Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kwankamon Khongcharoen

Individual provider Physical Therapy Assistant · NPI 1366006991

Kwankamon Khongcharoen is a Physical Therapy Assistant in Tampa, Florida. Licensed in Florida. Registered with an NPI since 2019.

Licensed in
FL
In the registry since
2019

Practice location Address checks out

8742 Mallard Reserve Dr Unit 204
Tampa, FL 33614-2361
Phone: (813) 451-4273
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence PTA29224 (FL)

Record details

NPI number1366006991
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 29, 2019
Last updated in NPPESApril 29, 2019
Mailing address8742 Mallard Reserve Dr Unit 204, Tampa, FL 33614-2361

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