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Search › Florida › Physical Therapy Assistant

Bouakham Chanthavongnasaeng

NPI 1346829751 · on the registry since 2021 · sole proprietor

Practice

Address
401 E Sample Rd
Deerfield Beach, FL 33064
Phone
(954) 941-4100
Clinicians at this address
10

Registry record

Primary taxonomy
Physical Therapy Assistant
225200000X
Also registered as
Physical Therapy Assistant
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-04-04

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida