Individual
CHUN WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1541 WALNUT ST, SAN GABRIEL, CA 91776-3507
(626) 215-6522
Mailing address
1541 WALNUT ST, SAN GABRIEL, CA 91776-3507
(626) 215-6522
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT2078
CA
Other
Enumeration date
04/07/2015
Last updated
04/07/2015
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