Individual
DEBRA WANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
11511 NE 10TH ST, BELLEVUE, WA 98004-8578
(909) 859-4759
Mailing address
501 141ST AVE SE APT 26, BELLEVUE, WA 98007-6656
(909) 859-4759
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
61185565
WA
Other
Enumeration date
07/06/2021
Last updated
10/12/2021
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