Individual
CONNIE MABEL WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
200 E DEL MAR BLVD STE 112, PASADENA, CA 91105-2552
(626) 564-2700
(626) 564-2770
Mailing address
200 E DEL MAR BLVD STE 112, PASADENA, CA 91105-2552
(626) 564-2700
(626) 564-2770
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
15837
CA
Other
Enumeration date
01/04/2016
Last updated
12/06/2021
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