John Stang DSCPT

NPI 1093793374 - Physical Therapist - 225100000X

NPI Details
NPI 1093793374
Gender Male
Enumeration Date 01/06/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
289 IRELAND AVE
FORT KNOX KY, 40121-5111, US
Phone (502) 624-9675
Fax
Business Location
289 IRELAND AVE
FORT KNOX KY, 40121-5111, US
Phone
Fax
Toxanomy
Taxonomy Code 225100000X
License State Texas
License Number 1108132
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According to our database, Dr. John Stang DSCPT NPI is 1093793374, taxonomy code is 225100000X and license number is 1108132, license state is located at Texas. John Stang DSCPT physically located at 289 Ireland Ave, Fort Knox KY, 40121-5111. NPI Number John Stang DSCPT has the Individual type.

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1093793374 NPI number is provided on an as is basis without warranty of any kind. 1093793374 is maintained by the National Plan & Provider Enumeration System. The contents of John Stang DSCPT are for informational purposes only.