Individual
MS. AMY ELIZABETH FONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
16950 VIA TAZON, SAN DIEGO, CA 92127-1607
(858) 521-2265
Mailing address
16950 VIA TAZON, SAN DIEGO, CA 92127-1607
(858) 521-2265
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
25691
CA
2251X0800X
Orthopedic Physical Therapist
25691
CA
Other
Enumeration date
01/08/2008
Last updated
06/18/2019
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