Individual
BYUNGKWAN AN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
16392 ACACIA DR, STRONGSVILLE, OH 44136-7461
(216) 965-9658
Mailing address
16392 ACACIA DR, STRONGSVILLE, OH 44136-7461
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT012368
OH
Other
Enumeration date
05/31/2019
Last updated
05/31/2019
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