Individual
LEE WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
240 BEECHMONT DR NE, CORYDON, IN 47112-1718
(812) 738-0550
Mailing address
240 BEECHMONT DR NE, CORYDON, IN 47112-1718
(812) 738-0550
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31002705A
IN
Other
Enumeration date
08/27/2008
Last updated
08/27/2008
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