| Doctor Name: | JONATHAN C ONG |
| NPI Number: | 1356622914 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DPT |
| License Number: | PT38123 |
| Business Practice Address: | 13390 Ne 23rd St Choctaw, OK - 730208622 |
| Business Phone Number: | 4057695555 |
| Business Fax Number: | 4057695558 |
| Mailing Address: | 526 Sw 4th Street, Suite 200 MOORE |
| State: | OK |
| Postal Code: | 73160 |
| Phone Number: | 9188645848 |
| Fax Number: | |
| NPI Enumeration Date: | 09/08/2011 |
| NPI Last Update Date: | 08/04/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT38123 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| 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 |