Richard Ong, ATC, LAT

NPI #1891459228 in Moscow, Idaho

Provider Information

NPI Number
1891459228
Entity Type
Individual
Name
Richard Ong, ATC, LAT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Specialist/Technologist - Athletic Trainer
Credential
ATC, LAT
Enumeration Date
Oct 22, 2021
Last Updated
Oct 22, 2021

Practice Location

Address
269 SOUTHVIEW AVE APT 2
City
Moscow
State
Idaho
ZIP Code
83843-5072
Phone
(909) 489-1731

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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