Provider Demographics
NPI:1013741388
Name:HWANG, JI WOO (DPT)
Entity type:Individual
Prefix:
First Name:JI
Middle Name:WOO
Last Name:HWANG
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2310 W I 20 STE 204
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76017-1678
Mailing Address - Country:US
Mailing Address - Phone:817-466-7276
Mailing Address - Fax:844-283-4950
Practice Address - Street 1:2310 W I 20 STE 204
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76017-1678
Practice Address - Country:US
Practice Address - Phone:817-466-7276
Practice Address - Fax:844-283-4950
Is Sole Proprietor?:No
Enumeration Date:2024-08-29
Last Update Date:2024-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1398213225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist