Provider Demographics
NPI:1962607325
Name:VANG, FUE TOU (PTA)
Entity type:Individual
Prefix:MR
First Name:FUE
Middle Name:TOU
Last Name:VANG
Suffix:
Gender:M
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5994 US HIGHWAY 220 S
Mailing Address - Street 2:
Mailing Address - City:ASHEBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27205-1572
Mailing Address - Country:US
Mailing Address - Phone:336-301-3812
Mailing Address - Fax:
Practice Address - Street 1:500 MOUNTAIN TOP DR
Practice Address - Street 2:
Practice Address - City:ASHEBORO
Practice Address - State:NC
Practice Address - Zip Code:27203-5039
Practice Address - Country:US
Practice Address - Phone:336-625-2074
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1946225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant