Individual
LESLIE WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OT/R
Contact information
Practice address
5121 COTTONWOOD ST, MURRAY, UT 84107-5701
(801) 507-7573
Mailing address
1152 S MILLBROOK WAY, BOUNTIFUL, UT 84010-2052
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
70349554201
UT
Other
Enumeration date
12/03/2010
Last updated
12/03/2010
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