Individual
ALICE WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
9961 SIERRA AVE, FONTANA, CA 92335-6720
(888) 232-3030
Mailing address
9961 SIERRA AVE, FONTANA, CA 92335-6720
(888) 232-3030
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3947
CA
Other
Enumeration date
08/05/2007
Last updated
10/23/2021
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