Individual
JARED LEUNG-WO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1532 N 1930 W, PROVO, UT 84604-2247
(801) 319-6738
Mailing address
1532 N 1930 W, PROVO, UT 84604-2247
(801) 319-6738
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
9047495-2402
UT
Other
Enumeration date
04/03/2018
Last updated
04/03/2018
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