Individual
GREGORY WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
7101 NE 137TH AVE, VANCOUVER, WA 98682-4933
(800) 813-2000
Mailing address
7101 NE 137TH AVE, VANCOUVER, WA 98682-4933
(800) 813-2000
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
039620
NY
225100000X
Physical Therapist
62136
OR
225100000X
Physical Therapist
Primary
PT60736359
WA
Other
Enumeration date
02/03/2016
Last updated
12/23/2021
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