Individual
MS. JACQUELINE ONG ANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
52 TOLER LOOP APT 1, TOLER, KY 41514-8692
(606) 939-0788
Mailing address
52 TOLER LOOP APT 1, TOLER, KY 41514
(606) 939-0788
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
004944
KY
Other
Enumeration date
09/17/2012
Last updated
09/17/2012
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