Individual
JUE JUDY WANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT, PCS
Contact information
Practice address
323 N JACKSON ST APT 115, GLENDALE, CA 91206
(314) 398-8284
Mailing address
323 N JACKSON ST APT 115, GLENDALE, CA 91206-3654
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
070.017240
IL
2251P0200X
Pediatric Physical Therapist
Primary
—
—
Other
Enumeration date
09/08/2010
Last updated
09/04/2018
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