Most Relevant Information
Provider Data
| NPI Number: | 1003511965 |
| Provider Name: | EDEN NATALIE WONG OTR/L |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: | 488144 |
Most Important Dates
| Enumeration Date: | 03/31/2023 |
| Last Updated: | 03/31/2023 |
Provider Practice Location
2801 SHADELANDS DR
WALNUT CREEK
CA
945982550
Practice Location Phone/Fax
| Phone: | 8009674667 |
| Fax: |
Provider Mailing Location
10041 TAGUS WAY
ELK GROVE
CA
957576446
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |