Individual
ALYSON VONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
107 BELLA MONTAGNA CIR, LAKEWAY, TX 78734-2648
(512) 598-0714
Mailing address
8038 EXCHANGE DR APT 130, AUSTIN, TX 78754-4803
(773) 870-6372
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
121404
TX
Other
Enumeration date
02/09/2021
Last updated
02/09/2021
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