Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Amanda C. Wongsonegoro, CMT

Individual provider Specialist · NPI 1649480039

Mrs. Amanda C. Wongsonegoro, CMT is a Specialist in Petaluma, California. Practices as a sole proprietor. Registered with an NPI since 2007.

In the registry since
2007
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Practice location Address checks out

35 Petaluma Blvd N
Petaluma, CA 94952-3001
Phone: (707) 477-5402
Fax: (707) 762-4316
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1649480039
Entity typeIndividual (Type 1)
GenderFemale
Credentials CMT
Sole proprietorYes
NPI enumeratedMay 23, 2007
Last updated in NPPESJuly 8, 2007

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