Individual
JOHN WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8201 N 85TH AVE, PEORIA, AZ 85345-8058
(480) 295-5663
Mailing address
8201 N 85TH AVE, PEORIA, AZ 85345-8058
(480) 295-5663
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTH-008165
AZ
Other
Enumeration date
02/11/2026
Last updated
02/11/2026
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