BARRY HARVEY WONG

ORANGE, CA
NPI1144423302
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: CA  PT13997)
Additional Taxonomies2251S0007X Physical Therapist, Sports
(Licence: CA  PT13997)
2251X0800X Physical Therapist, Orthopedic
(Licence: CA  PT13997)
Enumeration Date2007-06-06
Last Update Date2014-10-28
Business Address
-- BARRY HARVEY WONG PT
1710 N FERN ST
ORANGE, CA 92867-4061
Phone number: 949-276-1276
Mailing Address
-- BARRY HARVEY WONG PT
1710 N FERN ST
ORANGE, CA 92867-4061
Phone number: 949-276-1276