Individual
MRS. BRENDA YVONNE WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
911 WAILUPE DR, WAILUKU, HI 96793-9659
(808) 276-4226
(808) 986-8241
Mailing address
911 WAILUPE DR, WAILUKU, HI 96793-9659
(808) 276-4226
(808) 986-8241
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1538
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
549454
—
HI
Enumeration date
12/31/2007
Last updated
12/31/2007
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