Jaqueline Fong, LMT

NPI #1205581352 in Scottsdale, Arizona

Provider Information

NPI Number: 1205581352
Entity Type: Individual
Name: Jaqueline Fong, LMT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Mechanotherapist
Credential: LMT
Enumeration Date: Feb 17, 2022
Last Updated: Feb 17, 2022

Practice Location

Address: 10769 N FRANK LLOYD WRIGHT BLVD STE A110
City: Scottsdale
State: Arizona
ZIP Code: 85259-2688
Phone: (602) 405-8182

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Mechanotherapist	172M00000X	Primary

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