Provider Demographics
NPI:1457965261
Name:ONG, CONNOR R (DPT)
Entity type:Individual
Prefix:MR
First Name:CONNOR
Middle Name:R
Last Name:ONG
Suffix:
Gender:M
Credentials:DPT
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Mailing Address - Street 1:9219 E HIDDEN SPUR TRL
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85255-6326
Mailing Address - Country:US
Mailing Address - Phone:480-585-6810
Mailing Address - Fax:480-585-6910
Practice Address - Street 1:30845 N CAVE CREEK RD STE 101
Practice Address - Street 2:
Practice Address - City:CAVE CREEK
Practice Address - State:AZ
Practice Address - Zip Code:85331-2916
Practice Address - Country:US
Practice Address - Phone:480-342-9547
Practice Address - Fax:480-342-9548
Is Sole Proprietor?:No
Enumeration Date:2020-08-31
Last Update Date:2020-08-31
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Provider Licenses
StateLicense IDTaxonomies
AZ31256225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist