Individual
IRENE NG SONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
2008 CEDAR ST APT G, ALHAMBRA, CA 91801-1703
(626) 888-1157
Mailing address
31248 OAK CREST DR STE 120, WESTLAKE VILLAGE, CA 91361-5673
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
11/30/2021
Last updated
11/30/2021
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