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NPI Code Detail

MEDICARE: NANCY FLORA WONG PT

MEDICARE: NANCY FLORA WONG PT
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 TherapistPT 00002236WA

General Provider Information

NPI Number : 1538452545
Entity Type Code : Individual
Provider Name (Legal Business Name) : NANCY FLORA WONG PT
Provider Business Mailing Address
First Line : 201 160TH ST S
Second Line :
City : SPANAWAY
State : WA
Zip : 98387-8508
Country : US
Telephone Number : 253-531-4100
Fax Number :
Provider Business Practice Location Address
First Line : 201 160TH ST S
Second Line :
City : SPANAWAY
State : WA
Zip : 98387-8508
Country : US
Telephone Number : 253-531-4100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2011
Last Update Date : 05/24/2011

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Directions to “ NANCY FLORA WONG PT” Practice Location

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