Individual
RYAN CHONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
938 21ST AVENUE, HONOLULU, HI 96816
(808) 384-1045
Mailing address
938 21ST AVENUE, HONOLULU, HI 96816
(808) 384-1045
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
111
HI
Other
Enumeration date
09/14/2016
Last updated
09/14/2016
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