Individual
CHI WAN WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
110 CHERRY STREET, HOLYOKE, MA 01040
(413) 538-4184
(413) 538-4183
Mailing address
110 CHERRY STREET, HOLYOKE, MA 01040
(413) 538-4184
(413) 538-4183
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
8698
MA
Other
Enumeration date
11/04/2015
Last updated
12/21/2018
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