Individual
LIAN WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
107 AUDUBON RD STE 10, WAKEFIELD, MA 01880-1245
(781) 245-4446
Mailing address
43 REVERE ST UNIT 3, BOSTON, MA 02114-4307
(609) 216-0891
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTL36479
MA
Other
Enumeration date
04/06/2026
Last updated
04/06/2026
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