Individual
ELIZABETH WONG
Active
Individual
ELIZABETH WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSOT, OTR/L
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
11388
CA
Other
Enumeration date
06/27/2011
Last updated
10/19/2012
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