Individual
DR. KENNETH NGWU JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT, OCS
Contact information
Practice address
13937 S SPRAGUE LN STE 100, DRAPER, UT 84020-7864
(385) 308-8034
Mailing address
13937 S SPRAGUE LN STE 100, DRAPER, UT 84020-7864
(385) 308-8034
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11553
SC
225100000X
Physical Therapist
P15291
NC
Other
Enumeration date
11/14/2014
Last updated
12/05/2022
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