Individual
DR. BRADFORD CHARLES WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT, OCS, CCCE
Contact information
Practice address
1400 VETERANS BLVD, 2ND FLOOR, REDWOOD CITY, CA 94063-2612
(650) 299-4312
(650) 299-4791
Mailing address
708 FREEPORT LN, REDWOOD CITY, CA 94065-8409
(650) 631-9931
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 20433
CA
Other
Enumeration date
11/17/2006
Last updated
01/03/2022
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