Provider Demographics
NPI:1922348523
Name:NOGAS, MICHELLE ONG (PTRP, RPT)
Entity Type:Individual
Prefix:MISS
First Name:MICHELLE
Middle Name:ONG
Last Name:NOGAS
Suffix:
Gender:F
Credentials:PTRP, RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4021 N PINE ISLAND RD APT 404
Mailing Address - Street 2:
Mailing Address - City:SUNRISE
Mailing Address - State:FL
Mailing Address - Zip Code:33351-6520
Mailing Address - Country:US
Mailing Address - Phone:954-315-8053
Mailing Address - Fax:
Practice Address - Street 1:4021 N PINE ISLAND RD APT 404
Practice Address - Street 2:
Practice Address - City:SUNRISE
Practice Address - State:FL
Practice Address - Zip Code:33351-6520
Practice Address - Country:US
Practice Address - Phone:954-315-8053
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-20
Last Update Date:2013-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist