Individual
AUDREY MCKENNA WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
797 E FREMONT AVE, SUNNYVALE, CA 94087-2805
(408) 738-4880
Mailing address
1962 LAVER CT, LOS ALTOS, CA 94024-6767
(650) 823-9714
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
25629
CA
Other
Enumeration date
07/01/2024
Last updated
07/01/2024
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