Provider Demographics
NPI:1427257161
Name:HWANG, JONG OK (BS)
Entity type:Individual
Prefix:MRS
First Name:JONG
Middle Name:OK
Last Name:HWANG
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:16911 HWY 99
Mailing Address - Street 2:SUITE 105
Mailing Address - City:LYNNWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98037-3104
Mailing Address - Country:US
Mailing Address - Phone:425-742-5900
Mailing Address - Fax:425-742-5959
Practice Address - Street 1:16911 HWY 99
Practice Address - Street 2:SUITE 105
Practice Address - City:LYNNWOOD
Practice Address - State:WA
Practice Address - Zip Code:98037-3104
Practice Address - Country:US
Practice Address - Phone:425-742-5900
Practice Address - Fax:425-742-5959
Is Sole Proprietor?:No
Enumeration Date:2007-07-12
Last Update Date:2008-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT00003957225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist