Organization
PHYSICAL REHAB ASSOCIATES
Active
Organization
PHYSICAL REHAB ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARMEN M WONG MD (OWNER)
(804) 424-0896
Entity
Organization
Contact information
Practice address
11357 NUCKOLS RD STE 2118, GLEN ALLEN, VA 23059-5504
(804) 424-0896
Mailing address
PO BOX 872, AGOURA HILLS, CA 91376-0872
(818) 518-7226
(818) 671-2225
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0101262431
MEDICAL LICENSE
VA
Enumeration date
01/24/2023
Last updated
01/24/2023
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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