Individual
CHUN-CHI WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4214 161ST ST, FLUSHING, NY 11358-4121
(347) 207-3805
Mailing address
4214 161ST ST, FLUSHING, NY 11358-4121
(347) 207-3805
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
016899-1
NY
225XP0200X
Pediatric Occupational Therapist
016899-1
NY
Other
Enumeration date
12/21/2012
Last updated
12/21/2012
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