Individual
SUSAN OETTING WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
944 WEST KAWAILANI STREET, LIFE CARE CENTER OF HILO, HILO, HI 96720-3218
(808) 959-9151
Mailing address
PO BOX 5803, HILO, HI 96720-8803
(808) 430-0428
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
007957-1
NY
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
878
HI
Other
Enumeration date
04/21/2009
Last updated
04/21/2009
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