Individual
LILIAN WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT, OTD, OTR
Contact information
Practice address
1493 CAMBRIDGE ST, CAMBRIDGE, MA 02139-1047
(949) 732-8926
Mailing address
1493 CAMBRIDGE ST, CAMBRIDGE, MA 02139-1047
(949) 732-8926
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
502930
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/25/2023
Last updated
12/16/2024
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