Individual
HARRY WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
17100 NORTH 67TH AVE, BLD 1, SUITE 100, GLENDALE, AZ 85308-3612
(623) 979-2747
(623) 979-3122
Mailing address
17100 NORTH 67TH AVE, BLD 1, SUITE 100, GLENDALE, AZ 85308-3612
(623) 979-2747
(623) 979-3122
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
12227PT
AZ
Other
Enumeration date
02/27/2018
Last updated
02/27/2018
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