Individual
KELSEY WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1501 SKYLINE DR, MONTEREY, CA 93940-4110
(831) 373-3716
Mailing address
907 PUKU ST, HILO, HI 96720-6214
(808) 987-7264
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTP-OTA-LIC-11520
MT
Other
Enumeration date
01/21/2025
Last updated
01/21/2025
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