Individual
ANNIE WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
10716 LA TUNA CANYON RD, SUN VALLEY, CA 91352-2130
(818) 252-5863
Mailing address
12724 CASWELL AVE APT 9, LOS ANGELES, CA 90066-4737
(718) 344-2948
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
298141
CA
Other
Enumeration date
06/09/2023
Last updated
06/09/2023
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