Individual
MICHAEL WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3901 CATHEDRAL AVE NW UNIT 319, WASHINGTON, DC 20016-5215
(206) 612-3203
Mailing address
650 WHITNEY RANCH DR, HENDERSON, NV 89014-2600
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
12-1175
NV
Other
Enumeration date
12/26/2012
Last updated
06/09/2019
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