Individual
JANIDA WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
3272 N GARLAND AVE, GARLAND, TX 75040-3207
(972) 675-3603
Mailing address
5307 FAIRWEATHER CT, KATY, TX 77450-7292
(713) 806-9867
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
217296
TX
Other
Enumeration date
05/10/2022
Last updated
05/10/2022
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