Individual
KRISTIN M WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
4617 W 136TH ST, HAWTHORNE, CA 90250-5735
(714) 870-6116
Mailing address
233 ORANGEFAIR MALL, FULLERTON, CA 92832-3038
(714) 870-6116
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
00002476
CA
225XP0200X
Pediatric Occupational Therapist
Primary
22066
CA
Other
Enumeration date
02/13/2018
Last updated
04/08/2026
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