Individual
DANNA WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1200 S COLUMBIA RD, GRAND FORKS, ND 58201-4036
(701) 780-2533
Mailing address
7837 JUAREZ WAY, FAIR OAKS, CA 95628-3415
(530) 219-4207
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1493
ND
Other
Enumeration date
06/24/2008
Last updated
06/24/2008
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