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NPI Code Detail

MEDICARE: JONATHAN ONG

MEDICARE:   JONATHAN  ONG
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
1225200000XPhysical Therapy Assistant633HI

General Provider Information

NPI Number : 1821847039
Entity Type Code : Individual
Provider Name (Legal Business Name) : JONATHAN ONG
Provider Business Mailing Address
First Line : 91-1061 POLEA ST APT 25A
Second Line :
City : EWA BEACH
State : HI
Zip : 96706-4713
Country : US
Telephone Number : 808-237-9701
Fax Number :
Provider Business Practice Location Address
First Line : 91-1061 POLEA ST APT 25A
Second Line :
City : EWA BEACH
State : HI
Zip : 96706-4713
Country : US
Telephone Number : 808-237-9701
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/20/2024
Last Update Date : 05/20/2024

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Directions to “ JONATHAN ONG ” Practice Location

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