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Individual
DENNIS WANG
Active
Individual
DENNIS WANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0156181
NY
2251P0200X
Pediatric Physical Therapist
0156181
NY
Other
Enumeration date
01/30/2009
Last updated
01/30/2009
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