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Individual

HELEN GRACE WONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
725 WELCH RD, 3RD FLOOR, PALO ALTO, CA 94304-1601
(650) 736-3472
Mailing address
725 WELCH RD, 3RD FLOOR, PALO ALTO, CA 94304-1601
(650) 736-3472

Taxonomy

Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
28545
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
053305
CA
Enumeration date
02/06/2014
Last updated
02/06/2014
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