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Individual

DR. NICHOLAS ROBERT MONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.T., D.P.T., A.T.C.

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05888
OR
2255A2300X
Athletic Trainer
RT004181
PA

Other

Enumeration date
10/15/2009
Last updated
02/20/2010
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