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1992148969
TIMOTHY JORDAN ONG
WOODLAND HILLS, CA
NPI
1992148969
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA PT 30180)
Enumeration Date
2013-04-09
Last Update Date
2013-04-09
Business Address
Mr. TIMOTHY JORDAN ONG PT
21200 KITTRIDGE ST APT. 3164
WOODLAND HILLS, CA 91303-2870
Phone number: 818-983-8674
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Mailing Address
Mr. TIMOTHY JORDAN ONG PT
21200 KITTRIDGE ST APT. 3164
WOODLAND HILLS, CA 91303-2870
Phone number:
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