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Individual

KA NGAN WONG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
3 ERIE CT, OAK PARK, IL 60302-2519
(708) 383-6200
Mailing address
1600 W CATALPA LN, MOUNT PROSPECT, IL 60056-4518
(630) 306-8657

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary

Other

Enumeration date
03/09/2012
Last updated
03/09/2012
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