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Individual

CONNIE S WANG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
834 S HOWARD ST, PHILADELPHIA, PA 19147-3436
(347) 804-6392
Mailing address
834 S HOWARD ST, PHILADELPHIA, PA 19147-3436
(347) 804-6392

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT024043
PA

Other

Enumeration date
02/06/2019
Last updated
02/06/2019
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