Individual
KIMBERLY WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
4 MILITIA DR., SUITE #18, LEXINGTON, MA 02421-4737
(781) 861-0695
(781) 861-0829
Mailing address
4 MILITIA DR, SUITE #18, LEXINGTON, MA 02421-4737
(781) 861-0695
(781) 861-0829
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
11020
MA
225X00000X
Occupational Therapist
13145
CA
Other
Enumeration date
04/10/2013
Last updated
10/28/2016
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