Anthony Khuntong Panbamrung in Fort Wayne - Physical Therapy Assistant
Anthony Khuntong Panbamrung - NPI 1861699092
Anthony Khuntong Panbamrung is a Physical Therapy Assistant in Fort Wayne, Indiana. Anthony Khuntong Panbamrung practices all healthcare services and medical treatments related to Physical Therapy Assistant. The NPI Number for Anthony Khuntong Panbamrung is 1861699092. The last update date is 2007-07-08.
Anthony Khuntong Panbamrung's current location address is 2827 Northgate Blvd, Fort Wayne, Indiana. You can contact this provider via phone number 2604921498 and fax number 2604921674. The mailing address for Anthony Khuntong Panbamrung is 2827 Northgate Blvd, Fort Wayne, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Anthony Khuntong Panbamrung |
|---|---|
| Address | 2827 Northgate Blvd, Fort Wayne, Indiana |
| Phone Number | 2604921498 |
| Fax Number | 2604921674 |
| Sole Proprietor | Y |
| Credentials | PTA |
NPI Number Detail
| NPI Number | 1861699092 |
|---|---|
| Provider Enumeration Date | 2007-06-29 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2827 Northgate Blvd |
|---|---|
| City | Fort Wayne |
| State | Indiana (IN) |
| Post Code | 468352903 |
| Phone Number | 2604921498 |
| Fax Number | 2604921674 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapy Assistant |
|---|---|
| Taxonomy | 225200000X |
| Licence No | 06002861A |
|
Definition: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Post |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1555-656 | IN | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Anthony Khuntong Panbamrung by the Centers for Medicare & Medicaid Services?
The Anthony Khuntong Panbamrung has been issued the NPI (National Provider Identifier) 1861699092 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Anthony Khuntong Panbamrung?
The Anthony Khuntong Panbamrung is physically situated at 2827 Northgate Blvd, in the city of Fort Wayne, state of IN, with the postal code 468352903.
What is Anthony Khuntong Panbamrung's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Anthony Khuntong Panbamrung is Physical Therapy Assistant, and the taxonomy code that categorizes this field of expertise is 225200000X.
On what date did the Anthony Khuntong Panbamrung receive the assignment of its 1861699092 from the Centers for Medicare & Medicaid Services?
The Anthony Khuntong Panbamrung was issued its 1861699092 by the Centers for Medicare & Medicaid Services on 2007-06-29.
When was the information regarding Anthony Khuntong Panbamrung most recently updated?
The details pertaining to the Anthony Khuntong Panbamrung, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
NPI Number: 1063415297
Address: 510 Spring St, Jeffersonville, IN