Individual
ALBERT WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
400 CELEBRATION PL # C200, KISSIMMEE, FL 34747-4970
(407) 303-4003
Mailing address
1919 FL-50, CLERMONT, FL 34711-6089
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA26971
FL
Other
Enumeration date
04/10/2020
Last updated
05/03/2023
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