Individual
KELLENE JANE WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
325 9TH AVE, SEATTLE, WA 98104-2420
(206) 466-8926
Mailing address
325 9TH AVE, SEATTLE, WA 98104-2420
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OC61119314
WA
Other
Enumeration date
03/20/2021
Last updated
06/05/2024
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