Individual
MR. JULIUS PUA ONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPT
Contact information
Practice address
212 N SEA FURY LN, APT 202, BOISE, ID 83704-9421
(208) 559-8462
Mailing address
212 N. SEAFURY LANE, APT 202, BOISE, ID 83704-9423
(208) 559-8462
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
009090
CT
Other
Enumeration date
01/04/2012
Last updated
01/04/2012
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