Individual
JENNIFER MARIE WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
6819 VISTA AVE S, SEATTLE, WA 98108-3651
(206) 854-7170
Mailing address
6819 VISTA AVE S, SEATTLE, WA 98108-3651
(206) 854-7170
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
19982
CA
225X00000X
Occupational Therapist
Primary
60842447
WA
Other
Enumeration date
09/15/2020
Last updated
09/15/2020
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