Individual
DEREK WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
35 ESCUELA DR, DALY CITY, CA 94015-4003
(650) 755-9515
Mailing address
35 ESCUELA DR, DALY CITY, CA 94015-4003
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
19060
CA
Other
Enumeration date
04/20/2020
Last updated
04/20/2020
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