Doctor Name: | MR. SANG HONG |
NPI Number: | 1801224480 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 0019008551 |
Business Practice Address: | 10194 Baltimore National Pike #107 Ellicott City, MD - 21042 |
Business Phone Number: | 4438120857 |
Business Fax Number: | |
Mailing Address: | 10309 Paddington Ct, ELLICOTT CITY |
State: | MD |
Postal Code: | 210425844 |
Phone Number: | 4438120857 |
Fax Number: | |
NPI Enumeration Date: | 10/17/2013 |
NPI Last Update Date: | 10/17/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | 0019008551 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | VA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Massage Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |