Individual provider · Type 1 NPI

Stacy Lynn Wong, DPT

Sports Physical Therapist · Walnut Creek, CA

NPI number 1447428412 Active

Practice location

2405 Shadelands Dr
Walnut Creek, CA 94598-2444

Call (925) 939-8585 Map

Fax (925) 933-2709

Mailing address

PO Box 31396
Walnut Creek, CA 94598-8396

Specialties and licenses

TaxonomyCodeLicense
Sports Physical Therapist Primary 2251S0007X33995 (CA)

Sports Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, pathology and pathophysiology, medical and surgical intervention, and health and wellness, as well as rehabilitation/return to sports, management of acute injury/illness, medica…

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About NPI 1447428412

Stacy Lynn Wong, DPT's National Provider Identifier is 1447428412, issued on Feb 13, 2008. The primary taxonomy on file is Sports Physical Therapist (2251S0007X), and the practice location is in Walnut Creek, CA. The record was last updated on Mar 3, 2014.