Individual
NATHAN WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
79-7422 HAWAII BELT RD, KEALAKEKUA, HI 96750
(808) 322-8400
(808) 334-1608
Mailing address
147 BERGEN AVE, NORTH ARLINGTON, NJ 07031-5150
(551) 655-7387
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01766000
NJ
Other
Enumeration date
11/20/2017
Last updated
11/25/2022
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