Individual
CONNIE ROSE WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
6160 MISSION GORGE RD, SAN DIEGO, CA 92120-3410
(619) 528-4000
Mailing address
9324 HILLERY DR APT 5207, SAN DIEGO, CA 92126-2871
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
8579
CA
Other
Enumeration date
05/11/2006
Last updated
03/17/2018
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