NPI | 1952622813 |
---|---|
Former Name | SANDRA L. WONG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: MI 4301108308) |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: OH 35.123177) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2010-06-15 |
Last Update Date | 2015-07-28 |