KIM LAVERNE WONGE

REGO PARK, NY
NPI1326302159
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: NY  001948-1)
Enumeration Date2012-06-26
Last Update Date2012-06-26
Business Address
Miss KIM LAVERNE WONGE C.O.T.A
9777 QUEENS BLVD PENTHOUSE
REGO PARK, NY 11374-3335
Phone number: 718-830-9253
Mailing Address
Miss KIM LAVERNE WONGE C.O.T.A
9777 QUEENS BLVD PENTHOUSE
REGO PARK, NY 11374-3335
Phone number: 718-830-9253
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