Ky Viet Phan
Physical Therapy Assistant
5432 Springwater Dr
Baton Rouge
, Louisiana 70817-2457
Ky Viet Phan
Physical Therapy Assistant
5432 Springwater Dr
Baton Rouge
, Louisiana 70817-2457
(228) 238-9200
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About
Features
Specialties
- Physical Therapy Assistant
Languages spoken
- English
Location
First Address
- Ky Viet Phan
- 5432 Springwater Dr
- Baton Rouge, LA
- Zip : 70817-2457
- Phone : (228) 238-9200
Second Address
- Ky Viet Phan
- 5432 Springwater Dr
- Baton Rouge, LA
- Zip : 70817-2457
- Phone : (228) 238-9200
Reviews
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | A3976 | LA |
National Provider Identifier
| NPI | 1013146661 |
|---|---|
| Provider Name | Ky Viet Phan |
| First Address | Baton Rouge, LA 70817-2457 |
| Second Address | Baton Rouge, LA 70817-2457 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/07/2009 |
| Last Update Date | 03/07/2009 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.