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Chiwon Ahn

Physical Therapist in Fort Lee, NJ. Individual provider (NPI-1).

NPI number1750142626
StatusActive
Last updated in NPPESJan 18, 2024

Details

NPI
1750142626
Entity type
Individual (NPI-1)
Name
Chiwon Ahn
Sex
Male
Sole proprietor
Yes
Enumeration date
Jan 18, 2024
Certification date
Jan 18, 2024
Last updated
Jan 18, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist–NJYes

Practice location

2200 Fletcher Ave Ste 505
Fort Lee, NJ 07024-5016

Phone 201-849-5201 · Fax 201-849-5014

Mailing address

576 Broadhollow Rd
Melville, NY 11747-5002

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