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1396492336
NICHOLAS WING OR
OAKLAND, CA
NPI
1396492336
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225XP0019X Occupational Therapist, Physical Rehabilitation
(Licence: CA 20288)
Enumeration Date
2022-03-09
Last Update Date
2022-03-09
Business Address
NICHOLAS WING OR OTR/L
1411 E 31ST ST
OAKLAND, CA 94602-1018
Phone number: 650-888-2939
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Mailing Address
NICHOLAS WING OR OTR/L
2117 ENSENADA WAY
SAN MATEO, CA 94403-1227
Phone number: 650-888-2939
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