Individual
BYEONG HO EOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11801 YORK ST UNIT 1121, THORNTON, CO 80233-5335
(303) 960-4066
Mailing address
11801 YORK ST UNIT 1121, THORNTON, CO 80233-5335
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA0015098
CO
Other
Enumeration date
02/05/2024
Last updated
02/05/2024
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