Matthew Wong P.T.

NPI 1639373608 - Physical Therapist - 225100000X

NPI Details
NPI 1639373608
Gender Male
Enumeration Date 06/13/2007
Last Updated 10/31/2011
Entity Type Individual
Active Over 9 years ago
Practice Location
3435 OCEAN PARK BLVD
#107
SANTA MONICA CA, 90405-3301, US
Phone (310) 430-3881
Fax
Business Location
3435 OCEAN PARK BLVD
#107
SANTA MONICA CA, 90405-3301, US
Phone (310) 430-3881
Fax
Toxanomy
Taxonomy Code 225100000X
License State California
License Number PT16107
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According to our database, Mr. Matthew Wong P.T. NPI is 1639373608, taxonomy code is 225100000X and license number is PT16107, license state is located at California. Matthew Wong P.T. physically located at 3435 Ocean Park Blvd, Santa Monica CA, 90405-3301. NPI Number Matthew Wong P.T. has the Individual type.

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1639373608 NPI number is provided on an as is basis without warranty of any kind. 1639373608 is maintained by the National Plan & Provider Enumeration System. The contents of Matthew Wong P.T. are for informational purposes only.