Individual
PIN WEN WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10604 N TRADEMARK PKWY, RANCHO CUCAMONGA, CA 91730-5938
(909) 476-5747
Mailing address
10604 N TRADEMARK PKWY, RANCHO CUCAMONGA, CA 91730-5938
(909) 476-5747
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
15168
CA
Other
Enumeration date
12/26/2012
Last updated
10/25/2024
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