Individual
BRANDON A WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1401 DOMINICA LN, FOSTER CITY, CA 94404-3963
(650) 477-4617
Mailing address
373 PINE LN, LOS ALTOS, CA 94022-1694
(650) 948-8291
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
23776
CA
Other
Enumeration date
07/16/2022
Last updated
07/16/2022
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