Doctor Name: | DR. KWANG JONG WON |
NPI Number: | 1134309073 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPT, MS |
License Number: | 1173970 |
Business Practice Address: | 10550 Harbor Hill Dr Nw Gig Harbor, WA - 983328944 |
Business Phone Number: | 2535308970 |
Business Fax Number: | 2538581143 |
Mailing Address: | 3810 N Washington St, TACOMA |
State: | WA |
Postal Code: | 984075729 |
Phone Number: | 3038707492 |
Fax Number: | |
NPI Enumeration Date: | 11/08/2007 |
NPI Last Update Date: | 07/03/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 1173970 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |