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Individual

DR. KWANG JONG WON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPT, MS

Contact information

Practice address
10550 HARBOR HILL DR NW, GIG HARBOR, WA 98332-8944
(253) 530-8970
(253) 858-1143
Mailing address
3810 N WASHINGTON ST, TACOMA, WA 98407-5729
(303) 870-7492

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1173970
TX
2251X0800X
Orthopedic Physical Therapist
8916
CO
2251X0800X
Orthopedic Physical Therapist
Primary
PT 60282422
WA
2251X0800X
Orthopedic Physical Therapist
PT01812
RI

Other

Enumeration date
11/08/2007
Last updated
06/23/2021
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