Individual
KATTI WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOT
Contact information
Practice address
11785 NORTHFALL LN STE 502, ALPHARETTA, GA 30009-7961
(678) 520-6879
Mailing address
11785 NORTHFALL LN STE 502, ALPHARETTA, GA 30009-7961
(678) 520-6879
(770) 569-7432
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
004852
GA
225XP0200X
Pediatric Occupational Therapist
Primary
004852
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004852
OCCUPATIONAL THERAPY LICENSE
GA
Enumeration date
06/06/2009
Last updated
09/16/2021
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