Individual
DIANA WONG LAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2900 12TH ST N, NAPLES, FL 34103-4528
(239) 261-2554
(239) 261-4540
Mailing address
2900 12TH ST N, NAPLES, FL 34103-4528
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
26686
FL
Other
Enumeration date
11/23/2012
Last updated
11/23/2012
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