Individual
JENNIFER R WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1600 MORGAN ST, KEOKUK, IA 52632-3456
(419) 447-7203
(419) 447-5577
Mailing address
40 RICHARDS DR, FORT MADISON, IA 52627-2138
(419) 447-7203
(419) 447-5577
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
004145
IA
Other
Enumeration date
04/04/2008
Last updated
04/04/2008
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