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Contact Information

AILEEN IBANEZ WONG, MPT
840 PINE ST STE 880
MACON, GA31201-7525
 Phone: 478-743-7092
 Fax: 478-743-6293
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatrics

2251G0304X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for AILEEN IBANEZ WONG · (Female)

NPI # 1659538429
Status Active
Credentials MPT (Master of Physical Therapy)
Entity Individual
Enumeration date 05/20/2008
Last updated 10/21/2025 - About 8 months ago
Sole proprietor 1 Yes
Identifiers
  • GA License # 007662
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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