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Individual

HEIDI MELLOR WANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MOTR/L

Contact information

Practice address
1323 W COLTON AVE STE 105, REDLANDS, CA 92374-2853
(909) 936-9202
Mailing address
PO BOX 3192, RUNNING SPRINGS, CA 92382-3192
(909) 936-9202

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT17277
CA

Other

Enumeration date
08/09/2017
Last updated
08/09/2017
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