Individual
REBECCA CHI-LAN WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
15100 LOS GATOS BLVD STE 1, LOS GATOS, CA 95032-2028
(408) 358-1460
Mailing address
15100 LOS GATOS BLVD STE 1, LOS GATOS, CA 95032-2028
(408) 358-1460
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
33565
CA
Other
Enumeration date
03/29/2007
Last updated
07/08/2007
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