Individual
TIM SU-EN SOONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
400 W 8TH ST, BELOIT, KS 67420-1605
(785) 738-2266
Mailing address
243 CUSHING AVE, WILLISTON PARK, NY 11596-1050
(516) 698-1019
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
043792
NY
Other
Enumeration date
03/18/2020
Last updated
03/18/2020
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