Individual
KIANA MARIE WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
330 N HAYWORTH AVE, LOS ANGELES, CA 90048-2702
(323) 852-9200
Mailing address
960 S MANSFIELD AVE, LOS ANGELES, CA 90036-4919
(425) 442-3511
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
25841
CA
Other
Enumeration date
01/10/2024
Last updated
01/10/2024
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