Individual
MRS. IRENE WONG UOTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1001 VERNON ST, LA HABRA, CA 90631-2568
(562) 697-7751
Mailing address
1001 VERNON ST, LA HABRA, CA 90631-2568
(562) 697-7751
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
647
CA
Other
Enumeration date
10/02/2013
Last updated
10/02/2013
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