Individual
CARLY WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
423 IMPERIAL HWY, FULLERTON, CA 92835-1146
(714) 465-4777
Mailing address
1272 CAMBRIDGE DR, LA HABRA, CA 90631-7365
(562) 458-5133
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
26711
CA
Other
Enumeration date
10/22/2024
Last updated
03/03/2025
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