Individual
JANELLE WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
5314 N. 7TH ST., PHOENIX, AZ 85014
(602) 277-5006
Mailing address
5314 N. 7TH ST., PHOENIX, AZ 85014
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
9777
AZ
Other
Enumeration date
05/03/2012
Last updated
05/03/2012
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