| Michelle Wong, DPT | |
|
6826 S Centinela Ave, Culver City, CA 90230-6301 | |
| (310) 915-6100 | |
| Not Available |
| Full Name | Michelle Wong |
|---|---|
| Gender | Female |
| Speciality | Physical Therapy |
| Experience | 3 Years |
| Location | 6826 S Centinela Ave, Culver City, California |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700452745 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Elite Rehabilitation Center, Inc. | 5193804276 | 10 |
| Provider Name | Evolution Physical Therapy Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1174601116 PECOS PAC ID: 0244336964 Enrollment ID: O20070426000134 |
| Provider Name | Elite Rehabilitation Center, Inc. |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1013940634 PECOS PAC ID: 5193804276 Enrollment ID: O20080430000471 |
| Mailing Address | Practice Location Address |
|---|---|
| Michelle Wong, DPT 73 Deerhurst Dr, Goleta, CA 93117-1936 Ph: (805) 636-7721 | Michelle Wong, DPT 6826 S Centinela Ave, Culver City, CA 90230-6301 Ph: (310) 915-6100 |
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