person
Mr. Seung Gon Song, PT
Student in an Organized Health Care Education/Training Program in Missoula, Montana
NPI 1619550779

Seung Gon Song is a Student in an Organized Health Care Education/Training Program based in Howard Beach, MT. Seung Gon Song practices in Missoula, MT and has the professional credentials of PT. The NPI Number for Seung Gon Song is 1619550779 and holds a License No. (Montana).

The current practice location address for Seung Gon Song is 32 Campus Dr., Missoula, MT and can be reached out via phone at 917-640-4213.

Location: 32 Campus Dr., Missoula, MT, 11414
person
Provider Profile Details
NPI Number
1619550779
Provider Name
Seung Gon Song
Credential
PT
Provider Entity Type
Individual
Gender
Male
Address
32 Campus Dr., Missoula, MT, 11414
Phone Number
917-640-4213
Fax Number
Provider Enumeration Date
05/05/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
32 Campus Dr.
City
State
Zip
58981
Phone Number
917-640-4213
Fax Number
person
Provider Business Mailing Address Details
Address
32 Campus Dr.
City
State
Zip
58981
Phone Number
917-640-4213
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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