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Individual

EDWIN KAIWINUI CHUNG-HOON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PT, PHD

Contact information

Practice address
1146 N 1170 E, OREM, UT 84097-4317
(801) 380-5837
Mailing address
1146 N 1170 E, OREM, UT 84097-4317
(801) 380-5837

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
120714-2401
UT
225100000X
Physical Therapist
1358
HI
225100000X
Physical Therapist
18690
CA

Other

Enumeration date
06/19/2014
Last updated
06/19/2014
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