Most Relevant Information
Provider Data
| NPI Number: | 1003217597 |
| Provider Name: | VINCENT NGO |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | PT023678 |
Most Important Dates
| Enumeration Date: | 09/16/2014 |
| Last Updated: | 09/23/2016 |
Provider Practice Location
133 W HUNTING PARK AVE
PHILADELPHIA
PA
191402717
Practice Location Phone/Fax
| Phone: | 2154555370 |
| Fax: |
Provider Mailing Location
413 W SHUNK ST
PHILADELPHIA
PA
191484640
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |