NPI | 1306466495 |
---|---|
Former Name | NAOMI ELIZABETH WONG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: TX 1359653) |
Additional Taxonomies | 225100000X Physical Therapist |
Enumeration Date | 2020-04-20 |
Last Update Date | 2023-05-24 |