Individual
BRIAN WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
1371 WESTBURY DR, SAN JOSE, CA 95131-1586
(510) 402-5182
Mailing address
1371 WESTBURY DR, SAN JOSE, CA 95131-1586
(510) 402-5182
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
299986
CA
Other
Enumeration date
01/07/2026
Last updated
01/07/2026
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