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Individual

CAROLE GOLES WONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
410 W POPLAR ST., WALLA WALLA, WA 99362-1796
(509) 897-2100
(509) 897-5752
Mailing address
410 W POPLAR ST., WALLA WALLA, WA 99362-1796
(509) 897-3320
(509) 897-5752

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT60060980
WA

Other

Enumeration date
03/31/2009
Last updated
02/02/2017
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