Individual
CHARLIE WENG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
5141 BROADWAY, NEW YORK, NY 10034-1159
(646) 697-8479
Mailing address
6650 BRET HARTE DR, SAN JOSE, CA 95120-2010
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
08/08/2021
Last updated
06/02/2022
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