NPI 1013146661
Ky Viet Phan, PTA
Practice location
- Address
- 5432 Springwater Dr, Baton Rouge, LA 70817-2457
- Phone
- (228) 238-9200
Registered specialties
Physical Therapy Assistant
Primary
Registry record
- NPI
- 1013146661
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 3 Jul 2009
- Record last updated
- 3 Jul 2009
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.