Individual
MICHAEL K KWONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
801 COLLEGE AVE, KENTFIELD, CA 94904-2562
(415) 258-9894
(415) 258-8105
Mailing address
801 COLLEGE AVE, KENTFIELD, CA 94904-2562
(415) 258-9894
(415) 258-8105
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT6485
CA
Other
Enumeration date
10/04/2006
Last updated
07/08/2007
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