MEDICARE: ERYN DUONG PT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1841125549
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERYN DUONG PT

Provider Business Mailing Address
First Line	:	7137 CERRO CREST DR
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95138-1397
Country	:	US
Telephone Number	:	408-621-6134
Fax Number	:

Provider Business Practice Location Address
First Line	:	10425 TIERRASANTA BLVD STE 102
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92124-2618
Country	:	US
Telephone Number	:	858-598-5055
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/15/2026
Last Update Date	:	06/15/2026

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