Individual
BENJAMIN KONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
301 INDUSTRIAL RD, SAN CARLOS, CA 94070-2603
(650) 632-0816
Mailing address
325 DISTEL CIR, LOS ALTOS, CA 94022-1408
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
41074
CA
Other
Enumeration date
03/14/2014
Last updated
02/18/2020
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