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Individual

SUDONG KANG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OTR/L

Contact information

Practice address
300 EAST HOSPITAL ROAD, EISENHOWER HOSPITAL, 1ST FLOOR, FORT GORDON, GA 30905
(706) 787-7448
Mailing address
92 LINDEN AVE, SPRINGFIELD, NJ 07081-1808
(908) 376-6177

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00545000
NJ

Other

Enumeration date
04/25/2011
Last updated
07/03/2023
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