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Albert Wong, PTA

Physical Therapy Assistant in Kissimmee, FL. Individual provider (NPI-1).

NPI number1265051155
StatusActive
Last updated in NPPESMay 3, 2023

Details

NPI
1265051155
Entity type
Individual (NPI-1)
Name
Albert Wong
Credential
PTA
Sex
Male
Sole proprietor
Yes
Enumeration date
Apr 10, 2020
Certification date
Apr 25, 2023
Last updated
May 3, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225200000X Physical Therapy AssistantPTA26971FLYes

Practice location

400 Celebration Pl # C200
Kissimmee, FL 34747-4970

Phone 407-303-4003

Mailing address

1919 Fl-50
Clermont, FL 34711-6089

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