Provider Demographics
NPI:1306863758
Name:NGO, LUONG HOC (PT)
Entity Type:Individual
Prefix:MR
First Name:LUONG
Middle Name:HOC
Last Name:NGO
Suffix:
Gender:M
Credentials:PT
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Mailing Address - Street 1:7200 STONEHENGE DRIVE
Mailing Address - Street 2:SUITE 300
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27613
Mailing Address - Country:US
Mailing Address - Phone:919-676-2001
Mailing Address - Fax:919-676-0023
Practice Address - Street 1:3701 NW CARY PARKWAY
Practice Address - Street 2:SUITE 301
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27513
Practice Address - Country:US
Practice Address - Phone:919-388-0111
Practice Address - Fax:919-388-8668
Is Sole Proprietor?:No
Enumeration Date:2006-07-15
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC8275673225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC079RWOtherBCBS
NC7126470OtherAETNA
NCZ9S5N4OtherACW MPN UHC
NC694555OtherACW MPN UHC
NC7126470OtherAETNA