Individual
KRISTINE WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR,
Contact information
Practice address
1034 KILANI AVE STE 109, WAHIAWA, HI 96786
(808) 621-2322
Mailing address
98-1605 PIKI ST, AIEA, HI 96701-1731
(707) 980-0509
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1765
HI
Other
Enumeration date
04/25/2018
Last updated
06/10/2018
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