MR. Gerald Wilzon Quan Wong, PT

NPI #1952948085 in Northvale, New Jersey

Provider Information

NPI Number: 1952948085
Entity Type: Individual
Name: MR. Gerald Wilzon Quan Wong, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Dec 9, 2019
Last Updated: Dec 9, 2019

Practice Location

Address: 220 LIVINGSTON ST STE 108
City: Northvale
State: New Jersey
ZIP Code: 07647-1739
Phone: (201) 564-7515

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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