Mark Elton Lao Ong

NPI #1871144303 in Belvidere, Illinois

Provider Information

NPI Number
1871144303
Entity Type
Individual
Name
Mark Elton Lao Ong
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapist
Enumeration Date
Sep 25, 2019
Last Updated
Sep 25, 2019

Practice Location

Address
2250 PEARL ST
ZIP Code
61008-6022
Phone
(815) 544-0358

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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