| NPI | 1821238536 |
|---|---|
| Former Name | TERESA J WANG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: ME OT3440) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: OH OT-5619) |
| Enumeration Date | 2009-02-20 |
| Last Update Date | 2019-08-01 |