Harry Wong, PT, DPT | |
17100 North 67th Ave, Bld 1, Suite 100, Glendale, AZ 85308-3612 | |
(623) 979-2747 | |
(623) 979-3122 |
Full Name | Harry Wong |
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Gender | Male |
Speciality | Physical Medicine & Rehabilitation |
Location | 17100 North 67th Ave, Glendale, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1861993586 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208100000X | Physical Medicine & Rehabilitation | 12227PT (Arizona) | Primary |
Entity Name | 360 Physical Therapy Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932430949 PECOS PAC ID: 1355237645 Enrollment ID: O20040224000822 |
Mailing Address | Practice Location Address |
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Harry Wong, PT, DPT 17100 North 67th Ave, Bld 1, Suite 100, Glendale, AZ 85308-3612 Ph: (623) 979-2747 | Harry Wong, PT, DPT 17100 North 67th Ave, Bld 1, Suite 100, Glendale, AZ 85308-3612 Ph: (623) 979-2747 |
Royce Sumayo, Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 5437 W Villa Rita Dr, Glendale, AZ 85308 Phone: 602-363-9935 | |
Dr. Lata Kumaraswamy, D.O. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 6220 W Bell Rd Ste 130, Glendale, AZ 85308 Phone: 602-547-7348 | |
Dr. Charles Fredrick White, M.D. Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 5964 W Potter Dr, Glendale, AZ 85308 Phone: 623-561-6422 | |
Cooper Collings, PT Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 17100 N 67th Ave Bldg 100, Glendale, AZ 85308 Phone: 623-979-2747 | |
Dr. John Charles Porter, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 6527 W Bloomfield Rd, Glendale, AZ 85304 Phone: 623-764-2894 Fax: 623-878-8712 | |
Jordan Morino, PT Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 17100 N 67th Ave Bldg 100, Glendale, AZ 85308 Phone: 623-979-2747 Fax: 623-979-3122 | |
Jatinder Singh Purewal, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 6677w Thunderbird Rd I164, Glendale, AZ 85306 Phone: 623-334-0376 |