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Individual

ERIC WONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1340 HIGHLAND AVE, DUARTE, CA 91010-2520
(626) 256-4654
Mailing address
32-48 47TH STREET, ASTORIA, NY 11103
(347) 285-2542

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
21019
CA

Other

Enumeration date
05/13/2020
Last updated
05/13/2020
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