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Everett R Wong, MSPT

Physical Therapist in Kailua, HI. Individual provider (NPI-1).

NPI number1679520985
StatusActive
Last updated in NPPESMar 9, 2017

Details

NPI
1679520985
Entity type
Individual (NPI-1)
Name
Everett R Wong
Credential
MSPT
Sex
Male
Sole proprietor
No
Enumeration date
May 30, 2006
Last updated
Mar 9, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical TherapistPT-2591HIYes

Practice location

1090 Keolu Dr
Suite 104
Kailua, HI 96734-3871

Phone 808-262-2292

Mailing address

Po Box 1440
Kailua, HI 96734-1440

Phone 808-262-2292 · Fax 808-262-2293

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