Individual
MRS. CHRISTINE LEAL WONDERGEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.R.
Contact information
Practice address
1827 S COURT ST, SUITE C, VISALIA, CA 93277-5469
(559) 627-3274
(559) 627-3284
Mailing address
5809 W CROWLEY AVE, VISALIA, CA 93291-5106
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
OT 3770
CA
Other
Enumeration date
07/22/2009
Last updated
07/22/2009
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