Individual
MICHELLE WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
7242 JOSEPHINE CT, LA VISTA, NE 68128-2260
(402) 213-6969
Mailing address
7242 JOSEPHINE CT, LA VISTA, NE 68128-2260
(402) 213-6969
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
07/26/2016
Last updated
07/26/2016
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