Bong Su Jang, DPT Valid NPI

Individual provider · Physical Therapist · San Clemente, CA

NPI

1255961850

Type

Individual (Type 1)

Primary specialty

Physical Therapist

Specialty group

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy code

225100000X

License number

PT296936 (CA)

Sex

Male

Sole proprietor

Yes

Enumerated

2020-01-22

Last updated

2022-08-08