Individual
MRS. KANDI ANN WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2500 N ELMS RD, FLUSHING, MI 48433-9426
(810) 342-5554
(810) 342-5589
Mailing address
1163 NORTON ST, BURTON, MI 48529-1156
(810) 342-5554
(810) 342-5589
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
05/17/2007
Last updated
07/08/2007
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