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Individual

MRS. JOSEPHINE SI NUN WONG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MAOTR/L, CHT

Contact information

Practice address
139 CENTRE ST, SUITE 814, NEW YORK, NY 10013-4552
(917) 497-7377
Mailing address
139 CENTRE ST, SUITE 814, NEW YORK, NY 10013-4552
(917) 497-7377

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
007691
NY
225X00000X
Occupational Therapist
007691-1
NY
225XH1200X
Hand Occupational Therapist
Primary
007691-1
NY

Other

Enumeration date
12/11/2006
Last updated
08/02/2022
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