Individual
JENNIFER ONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
15720 BERNARDO CENTER DR, SAN DIEGO, CA 92127-5861
(858) 672-3900
Mailing address
10438 RUE DU NUAGE, SAN DIEGO, CA 92131-2357
(858) 578-4989
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2071
CA
Other
Enumeration date
01/05/2015
Last updated
01/05/2015
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