Individual
ANNA LILY WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
855 S TRACY BLVD, TRACY, CA 95376-4744
(209) 803-9388
Mailing address
5630 SPRINGHOUSE DR APT 32, PLEASANTON, CA 94588-4070
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
2251X0800X
Orthopedic Physical Therapist
—
—
Other
Enumeration date
08/18/2021
Last updated
08/18/2021
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