MRS. AMANDA C. WONGSONEGORO CMT
NPI 1649480039
Specialist in Petaluma, CA

Q: What is Amanda Wongsonegoro's NPI number?

The NPI number for Amanda Wongsonegoro is 1649480039. It was assigned to this individual provider in the NPPES registry on May 23, 2007.

Q: What is Amanda Wongsonegoro's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since May 23, 2007

35 PETALUMA BLVD N, PETALUMA, CA 94952(707) 477-5402(707) 762-4316 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mrs. Amanda C. Wongsonegoro Cmt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. AMANDA C. WONGSONEGORO CMT (NPI 1649480039) is an individual specialist in Petaluma, California and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1649480039

Entity TypeIndividualFemale

Primary Taxonomy174400000X

Provider Legal NameMRS. AMANDA C. WONGSONEGOROCredential: CMT

Location Address35 PETALUMA BLVD NPetaluma, CA 94952-3001

Mailing Address332 Keokuk StPetaluma, CA 94952-2729 · (707) 762-4316 · Fax (707) 762-4316

Phone(707) 477-5402

Fax(707) 762-4316

Sole ProprietorYes

Enumeration DateMay 23, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1649480039 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

35 PETALUMA BLVD N, Petaluma, CA 94952

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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DIANE ELLIS-CARUANA PT

Physical Therapist

35 PETALUMA BLVD N
PETALUMA, CA 94952

Sonoma County (707) 888-7917

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amanda Wongsonegoro's NPI number?

The NPI number for Amanda Wongsonegoro is 1649480039. It was assigned to this individual provider in the NPPES registry on May 23, 2007.

Where is Amanda Wongsonegoro located?

Amanda Wongsonegoro practices at 35 Petaluma Blvd N, Petaluma, CA 94952. The listed phone number is (707) 477-5402.

What is Amanda Wongsonegoro's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Amanda Wongsonegoro was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.