Individual
BRENT ARTHUR WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
5620 RAINIER AVE S STE 102, SEATTLE, WA 98118-2498
(206) 535-8061
Mailing address
911 233RD PL SW, BOTHELL, WA 98021-7314
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT61155889
WA
Other
Enumeration date
05/13/2021
Last updated
05/13/2021
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