Individual
ANISHA MUKHI WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
3709 GENTIAN BLVD STE 12, COLUMBUS, GA 31907-1165
(706) 887-5665
(706) 887-5672
Mailing address
PO BOX 949, ROME, GA 30162-0949
(706) 887-5665
(706) 887-5672
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT012641
GA
Other
Enumeration date
09/03/2016
Last updated
09/28/2022
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