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Individual
RAYMOND KONG
Active
Individual
RAYMOND KONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT300561
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT300561
PT LICENSE
CA
Enumeration date
10/27/2021
Last updated
10/27/2021
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