Individual
THAW WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
351 OCIE WAY, HAYWARD, CA 94541-7545
(415) 609-4091
Mailing address
351 OCIE WAY, HAYWARD, CA 94541-7545
(415) 609-4091
Taxonomy
Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
16212
CA
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
16212
CA
Other
Enumeration date
07/12/2022
Last updated
07/12/2022
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