Individual
FIONA WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2198 6TH ST, SUITE 100, BERKELEY, CA 94710-2233
(510) 367-0712
Mailing address
530 MADISON ST, ALBANY, CA 94706-1117
(510) 367-0712
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
11204
CA
Other
Enumeration date
09/10/2013
Last updated
05/05/2014
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