STACEY LEE WONG

OCOEE, FL
NPI1245498179
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: FL  PTA19849)
Enumeration Date2008-05-28
Last Update Date2014-04-14
Business Address
-- STACEY LEE WONG PTA
1555 BOREN DR
OCOEE, FL 34761-2989
Phone number: 407-292-2156
Mailing Address
-- STACEY LEE WONG PTA
1555 BOREN DR
OCOEE, FL 34761-2989
Phone number: 407-292-2156