Individual
DANNY WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1415 N SAN BENITO DR, GILBERT, AZ 85234-2490
(480) 628-4180
Mailing address
19430 S 210TH WAY, QUEEN CREEK, AZ 85142-1625
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTH-008266
AZ
Other
Enumeration date
02/19/2021
Last updated
02/19/2021
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