Individual
ALLAN WAYLEE KWOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1855 COCHRAN ST STE 109, SIMI VALLEY, CA 93065-2263
(805) 526-2311
(805) 526-6608
Mailing address
5720 RALSTON ST STE 200, VENTURA, CA 93003-7844
(805) 804-4168
(805) 830-1177
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
294048
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT294048
STATE LICENSE
CA
Enumeration date
11/03/2017
Last updated
11/27/2021
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