Individual
MOSON WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1526 VISITACION AVE, SAN FRANCISCO, CA 94134
(415) 867-8682
Mailing address
1526 VISITACION AVE, SAN FRANCISCO, CA 94134-2725
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
P160754758
WA
Other
Enumeration date
08/29/2017
Last updated
08/29/2017
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