Individual
WING KIT LEUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2445 64TH AVE, OAKLAND, CA 94605
(510) 213-0891
Mailing address
2445 64TH AVE, OAKLAND, CA 94605-1944
(510) 213-0891
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
10658
CA
Other
Enumeration date
01/13/2015
Last updated
01/15/2015
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