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Organization
MANA MOBILE PHYSICAL THERAPY, P.C.
Active
Organization
MANA MOBILE PHYSICAL THERAPY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARRET LESTER WONG PT, DPT (PRESIDENT/PHYSICAL THERAPIST)
(310) 853-3948
Entity
Organization
Contact information
Practice address
950 VIRGINIA ST APT 102, EL SEGUNDO, CA 90245-2170
(310) 853-3948
Mailing address
950 VIRGINIA ST APT 102, EL SEGUNDO, CA 90245-2170
(310) 853-3948
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
08/30/2020
Last updated
08/30/2020
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