Individual
DR. MICHAEL S WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.T.
Contact information
Practice address
11406 LOMA LINDA DR, LOMA LINDA, CA 92354-3711
(909) 558-6144
Mailing address
11532 CIELO LN, LOMA LINDA, CA 92354-3707
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT25640
CA
Other
Enumeration date
04/19/2007
Last updated
07/08/2007
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