Individual
MS. JUDY WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
300 PASTEUR DR, RM. H3124, STANFORD, CA 94305-2200
(650) 723-6701
Mailing address
747 15TH AVE, MENLO PARK, CA 94025-1945
(650) 321-2504
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT 356
CA
Other
Enumeration date
05/10/2007
Last updated
07/08/2007
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