Individual
MIAOSUE S WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8870 S DUFFY AVE, HOMETOWN, IL 60456-1140
(708) 423-7360
(708) 499-7679
Mailing address
10715 TRIPP CT, OAK LAWN, IL 60453-5378
(216) 659-1812
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.009171
IL
Other
Enumeration date
09/06/2019
Last updated
09/06/2019
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