Individual
CHARLENE WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
150 55TH ST, BROOKLYN, NY 11220-2508
(718) 630-7000
Mailing address
2213 85TH ST FL 1, BROOKLYN, NY 11214-3305
(347) 668-5009
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
022209
NY
Other
Enumeration date
05/07/2018
Last updated
05/07/2018
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