Individual
JENNIFER SUI-WAH PON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., OTR/L
Contact information
Practice address
16631 NOYES AVE, IRVINE, CA 92606-5138
(949) 252-9946
(949) 559-4366
Mailing address
16631 NOYES AVE, IRVINE, CA 92606-5138
(949) 252-9946
(949) 559-4366
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT10413
CA
Other
Enumeration date
02/05/2009
Last updated
02/05/2009
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