IndividualActive
Anita Wong, OTR/L
NPI 1801482377 · Gerontology Occupational Therapist · Lake Grove, NY
Provider details
- NPI number
- 1801482377
- Entity type
- Individual
- Primary specialty
- Gerontology Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- OTR/L
- Sex
- Female
- Sole proprietor
- Yes
- License
- 0003278 (NY)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
23 Hamilton Pl
Lake Grove, NY 11755-1916
Phone: (631) 935-2729
Approximate (ZIP-level) locationGet directions
Mailing address
23 Hamilton Pl
Lake Grove, NY 11755-1916
Registry dates
- Enumerated
- 2020-12-17
- Last updated
- 2020-12-17
- Certified
- 2020-12-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.