Individual
ANITA MARIE WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
23 HAMILTON PL, LAKE GROVE, NY 11755-1916
(631) 935-2729
Mailing address
23 HAMILTON PL, LAKE GROVE, NY 11755-1916
(631) 935-2729
Taxonomy
Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
Primary
0003278
NY
Other
Enumeration date
12/17/2020
Last updated
12/17/2020
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