Individual
KA MAN WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1355 ELLIS ST, SAN FRANCISCO, CA 94115-4215
(415) 567-2967
Mailing address
1355 ELLIS ST, SAN FRANCISCO, CA 94115-4215
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
20522
CA
Other
Enumeration date
05/28/2020
Last updated
05/28/2020
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