Johnny T Wong, LMT

NPI #1306187281 in Melbourne, Florida

Provider Information

NPI Number
1306187281
Entity Type
Individual
Name
Johnny T Wong, LMT
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Massage Therapist
Credential
LMT
Enumeration Date
Mar 2, 2013
Last Updated
Mar 2, 2013

Practice Location

Address
2571 W EAU GALLIE BLVD STE 3
State
Florida
ZIP Code
32935-8302
Phone
(321) 806-0203

Specialties & Taxonomy Codes

Specialty
Massage Therapist

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