Individual
STANLEY WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
915 N GRAND BLVD, SAINT LOUIS, MO 63106-1621
(131) 465-2410
Mailing address
915 N GRAND BLVD, SAINT LOUIS, MO 63106-1621
(131) 465-2410
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2013000309
MO
Other
Enumeration date
01/11/2013
Last updated
03/28/2024
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