Mbong Jerry Ngwese
Physical Therapist - Sports
2546 West Bloch Rd
Phoenix
, Arizona 85041
Mbong Jerry Ngwese
Physical Therapist - Sports
2546 West Bloch Rd
Phoenix
, Arizona 85041
(602) 276-5063
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About
Features
Specialties
- Physical Therapist - Sports
Languages spoken
- English
Location
First Address
- Mbong Jerry Ngwese
- 2546 West Bloch Rd
- Phoenix, AZ
- Zip : 85041
- Fax : (602) 276-5063
- Phone : (480) 233-9241
Second Address
- Mbong Jerry Ngwese
- 2546 West Bloch Rd
- Phoenix, AZ
- Zip : 85041
- Fax : (602) 276-5063
- Phone : (480) 233-9241
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2251S0007X | Physical Therapist - Sports |
National Provider Identifier
| NPI | 1447816590 |
|---|---|
| Provider Name | Mbong Jerry Ngwese |
| First Address | Phoenix, AZ 85041 |
| Second Address | Phoenix, AZ 85041 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/05/2019 |
| Last Update Date | 14/05/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.