Individual
KELLY NGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1111 W COVINA BLVD STE 100, SAN DIMAS, CA 91773-3205
(909) 675-7017
Mailing address
311 W RALPH ST APT B, SAN GABRIEL, CA 91776-3767
(626) 242-4679
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
02/12/2025
Last updated
02/12/2025
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