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NPI Code Detail

MEDICARE: PATRICK LS WONG PT, DPT

MEDICARE:   PATRICK LS WONG  PT, DPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical TherapistPT12905FL

General Provider Information

NPI Number : 1518046945
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICK LS WONG PT, DPT
Provider Business Mailing Address
First Line : 8981 DANIELS CENTER DR STE 203
Second Line :
City : FORT MYERS
State : FL
Zip : 33912-0307
Country : US
Telephone Number : 239-362-1485
Fax Number : 239-822-6609
Provider Business Practice Location Address
First Line : 8981 DANIELS CENTER DR STE 203
Second Line :
City : FORT MYERS
State : FL
Zip : 33912-0307
Country : US
Telephone Number : 239-362-1485
Fax Number : 239-822-6609
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/05/2006
Last Update Date : 01/31/2026

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Directions to “ PATRICK LS WONG PT, DPT” Practice Location

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