IndividualActive
Aileen Ibanez-Wong, MPT
NPI 1659538429 · Geriatric Physical Therapist · Macon, GA
Provider details
- NPI number
- 1659538429
- Entity type
- Individual
- Primary specialty
- Geriatric Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- MPT
- Sex
- Female
- Sole proprietor
- Yes
- License
- 007662 (GA)
Practice location
840 Pine St Ste 880
Macon, GA 31201-7525
Phone: (478) 743-7092
Fax: (478) 743-6293
Mailing address
849 Parkview Dr
Macon, GA 31211-1422
Registry dates
- Enumerated
- 2008-05-20
- Last updated
- 2025-10-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.