Individual provider · Type 1 NPI

Seung Gon Song, P.T.

Student in an Organized Health Care Education/Training Program · Missoula, MT

NPI number 1619550779 Active

Practice location

32 Campus Dr.
Missoula, MT 58981

Mailing address

135-25F 79th Street, Medical Now, Suite 2A
Howard Beach, NY 11414

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: 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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About NPI 1619550779

Seung Gon Song, P.T.'s National Provider Identifier is 1619550779, issued on May 5, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Missoula, MT. The record was last updated on Feb 21, 2023.