NPI 1003387192

Tai Luong La, PTA

Practitioner Physical Therapy Assistant Brooklyn, NY

Practice location

Address: 6010 Bay Pkwy, Brooklyn, NY 11204-6079
Phone: (718) 283-8962
Mailing address: 6010 Bay Parkway, Brooklyn, NY 11214

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 010442 (NY)

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Registry record

NPI: 1003387192
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Dec 2018
Record last updated: 16 Dec 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.