Individual
LEILA SAGALLA WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
5729 157TH ST, FLUSHING, NY 11355-5518
(917) 741-3063
Mailing address
5729 157TH ST, FLUSHING, NY 11355-5518
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
019756
NY
Other
Enumeration date
11/05/2008
Last updated
11/05/2008
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