Individual
MS. DIANA CHEN WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
29 RAINIER RD, FANWOOD, NJ 07023-1415
(908) 889-8188
Mailing address
29 RAINIER RD, FANWOOD, NJ 07023-1415
(908) 889-8188
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5354
NY
Other
Enumeration date
06/25/2010
Last updated
06/25/2010
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