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

Mrs. Wannaporn Vudhichamnong, PT

Individual provider Developmental Therapist · NPI 1669666384

Mrs. Wannaporn Vudhichamnong, PT is a Developmental Therapist in San Diego, California. Licensed in Illinois. Registered with an NPI since 2007.

Licensed in
IL
In the registry since
2007
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

7510 Charmant Dr Apt 727
San Diego, CA 92122-5027
Phone: (512) 461-6890
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Developmental Therapist (primary) Taxonomy 222Q00000X (IL)

Record details

NPI number1669666384
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedSeptember 6, 2007
Last updated in NPPESSeptember 6, 2007

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