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Jennifer Wong, OTR/L

Occupational Therapist in San Francisco, CA. Individual provider (NPI-1).

NPI number1962067249
StatusActive
Last updated in NPPESMay 2, 2019

Details

NPI
1962067249
Entity type
Individual (NPI-1)
Name
Jennifer Wong
Credential
OTR/L
Sex
Female
Sole proprietor
No
Enumeration date
May 2, 2019
Last updated
May 2, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225X00000X Occupational Therapist11153CAYes

Practice location

2707 Pine St
San Francisco, CA 94115-2522

Phone 402-253-6340

Mailing address

643 Mason St Apt 10
San Francisco, CA 94108-3841

Phone 510-331-7399

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