Wong, Lori Lee

Wong, Lori Lee is an individual health care provider with primary practice located at 525 South Dr Suite 211, Mountain View CA 94040-4213. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Wong, Lori Lee can be contacted via phone (650) 934-0455.

Contact Information

Primary practice address
525 South Dr Suite 211 Mountain View CA 94040-4213
Phone: (650) 934-0455
Fax: (650) 934-0456
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OT1609 California

Profile Details

NPI number 1336122134
LBN Legal business name Wong, Lori Lee
Credentials Occupational Therapist (OT)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 25th, 2005
Last updated Jan 3rd, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336122134 NPPES
California Other ZZZ28185Z MEDICARE GROUP PTAN - FOREST
California Other ZZZ28190Z MEDICARE GROUP PTAN - FOREST

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