Individual provider · Type 1 NPI

Anthony Khuntong Panbamrung, PTA

Physical Therapy Assistant · Fort Wayne, IN

NPI number 1861699092 Active

Practice location

2827 Northgate Blvd
Fort Wayne, IN 46835-2903

Call (260) 492-1498 Map

Fax (260) 492-1674

Mailing address

3516 Utah Dr
Fort Wayne, IN 46815-6640

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X06002861A (IN)

Physical Therapy Assistant: (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 Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1861699092

Anthony Khuntong Panbamrung, PTA's National Provider Identifier is 1861699092, issued on Jun 29, 2007. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Fort Wayne, IN. The record was last updated on Jul 8, 2007.