Individual
STEPHANIE WEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
540 RALSTON AVE STE B, BELMONT, CA 94002-2866
(650) 363-5668
(650) 363-5669
Mailing address
2450 WALTERS WAY APT 16, CONCORD, CA 94520-3668
(925) 448-5327
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA49445
CA
Other
Enumeration date
09/04/2018
Last updated
09/04/2018
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