Individual
STACY LYNN WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
2405 SHADELANDS DR, WALNUT CREEK, CA 94598-2444
(925) 939-8585
(925) 933-2709
Mailing address
PO BOX 31396, WALNUT CREEK, CA 94598-8396
(925) 939-8585
(925) 933-2709
Taxonomy
Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
Primary
33995
CA
Other
Enumeration date
02/13/2008
Last updated
03/03/2014
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