Individual
JENNIFER TOMIKO WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
18785 BROOKHURST ST STE 104, FOUNTAIN VALLEY, CA 92708-7300
(657) 301-4967
Mailing address
18402 LAURELBROOK CIR, CERRITOS, CA 90703-6353
(562) 455-7050
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
54254
CA
Other
Enumeration date
07/29/2025
Last updated
07/29/2025
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