Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. ANTHONY KHUNTONG PANBAMRUNG, PTA
Active Sole ProprietorMR. ANTHONY KHUNTONG PANBAMRUNG, PTA is a Occupational Therapist healthcare provider located in FORT WAYNE, Indiana. NPI 1861699092 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · FORT WAYNE, IN
Registration Details
- NPI Number
- 1861699092
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 29, 2007 (19.083345509875 yrs)
- Last Updated
- Jul 8, 2007
- License
-
06002861A (IN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2827 NORTHGATE BLVDFORT WAYNE, IN, 468352903Browse IN providers · Browse ZIP 46835
- Phone
- 2604921498
- Fax
- 2604921674
- Primary Specialty
-
Occupational Therapist
225200000X
Other Occupational Therapist Providers in FORT WAYNE, IN
| Name | Credential | NPI |
|---|---|---|
| STEPHANIE EBERHART | — | 1073623948 |
| APRIL A ROSENOGLE | PTA | 1972604601 |
| AMANDA S MELCHER | PTA | 1902907637 |
| JENNIFER M HOWELL | PTA | 1770684417 |
| JEFFREY LAMBERT | PTA | 1548304546 |
| MARGARET ECKRICH | PTA | 1477698025 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.